Individual
EDGARD ATEF BADINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 N MEADE ST, SUITE W120, APPLETON, WI 54911-3454
(920) 735-7300
(920) 735-7333
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 830-5900
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
64179
WI
207RH0003X
Hematology & Oncology Physician
MD 2007-0020
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000Z2565
MEDICAID GROUP
NM
01
—
1932187044
GROUP NPI
NM
05
—
56388071
—
NM
01
—
800521089
MEDICARE GROUP NUMBER
NM
Enumeration date
03/14/2007
Last updated
01/13/2022
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