Individual
DR. MICHAEL E MCCADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD, 498A, SAINT LOUIS, MO 63141-8232
(314) 251-3376
(314) 251-5781
Mailing address
2 CARLSON PKWY N, STE 240, PLYMOUTH, MN 55447-4485
(314) 251-3376
(314) 251-5781
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MDR4H54
MO
207NS0135X
Procedural Dermatology Physician
MDR4H54
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A14101
UPIN
MO
Enumeration date
02/21/2007
Last updated
07/16/2019
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