Individual
DANIEL EUGENE MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 LONE PINE DR SW, ROCHESTER, MN 55902-8406
(507) 287-0318
Mailing address
1220 LONE PINE DR SW, ROCHESTER, MN 55902-8406
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
26863
MN
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
26863
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
552725200
—
MN
Enumeration date
01/12/2006
Last updated
01/05/2022
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