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Individual

BROOK L MCFADDEN

Active
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Individual

BROOK L MCFADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD2010-0172
NM
207VG0400X
Gynecology Physician
35121536
OH
207VG0400X
Gynecology Physician
MD2010-0172
NM
207VX0000X
Obstetrics Physician
MD2010-0172
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
29825334
NM
Enumeration date
01/30/2007
Last updated
10/28/2021
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