Daniel Eugene Maddox
Allergist & Immunologist Internist - Allergy & Immunology
1220 Lone Pine Dr Sw
Rochester
, Minnesota 55902-8406
Daniel Eugene Maddox
Allergist & Immunologist Internist - Allergy & Immunology
1220 Lone Pine Dr Sw
Rochester
, Minnesota 55902-8406
(507) 284-2511
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About
Features
Specialties
- Allergist & Immunologist
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Daniel Eugene Maddox
- 1220 Lone Pine Dr Sw
- Rochester, MN
- Zip : 55902-8406
- Phone : (507) 284-2511
Second Address
- Daniel Eugene Maddox
- 1220 Lone Pine Dr Sw
- Rochester, MN
- Zip : 55902-8406
- Phone : (507) 287-0318
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 26863 | MN |
| N | 207RA0201X | Internist - Allergy & Immunology | 26863 | MN |
National Provider Identifier
| NPI | 1972582450 |
|---|---|
| Provider Name | Daniel Eugene Maddox |
| First Address | Rochester, MN 55902-8406 |
| Second Address | Rochester, MN 55902-8406 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/01/2006 |
| Last Update Date | 05/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 552725200 | (05) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.