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Individual

DR. AARON W MADDOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
29201 TELEGRAPH RD STE 404S, SOUTHFIELD, MI 48034
(248) 450-3507
(248) 796-0177
Mailing address
29201 TELEGRAPH RD STE 404S, SOUTHFIELD, MI 48034-7647
(248) 450-3507
(248) 796-0177

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301038283
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0826215
BC/BS
MI
05
1613285
MI
Enumeration date
07/28/2006
Last updated
12/18/2018
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