Individual
MICHAEL CARL MADDEN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7505 MOFFETT RD, MOBILE, AL 36618
(251) 649-6112
(251) 649-6115
Mailing address
5320 HIGHWAY 90 W, MOBILE, AL 36619-4202
(251) 602-1667
(251) 602-5660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19371
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051502766
BCBS
—
01
—
051502767
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/17/2006
Last updated
03/14/2019
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