Individual
DR. RUPERT GARY MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3510 N CAUSEWAY BLVD, SUITE 404, METAIRIE, LA 70002-3531
(504) 779-5515
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(571) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
015583
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53591
—
LA
Enumeration date
06/24/2006
Last updated
07/08/2007
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