Individual
FADI HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
822 W 1ST ST, SUITE 8, BLOOMINGTON, IN 47403-2384
(812) 331-8168
(812) 331-1096
Mailing address
822 W 1ST ST, SUITE 8, BLOOMINGTON, IN 47403-2384
(812) 331-8168
(812) 331-1096
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01051484A
IN
Other
Enumeration date
09/20/2005
Last updated
04/25/2012
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