Individual
DR. JEVON DAVID MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 TOWNSEND ST, 5TH FLOOR, LANSING, MI 48933-1551
(517) 335-8900
(517) 335-8263
Mailing address
201 TOWNSEND ST, 5TH FLOOR, LANSING, MI 48933-1551
(517) 335-8900
(517) 335-8263
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301094728
MI
207R00000X
Internal Medicine Physician
53160-020
WI
Other
Enumeration date
01/14/2007
Last updated
09/20/2011
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