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NPI Code Detail

MEDICARE: JOHN W JADERLUND MD

MEDICARE:   JOHN W JADERLUND  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianG5207TX

Other Identifiers

General Provider Information

NPI Number : 1932195468
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN W JADERLUND MD
Provider Business Mailing Address
First Line : 2401 W OAK ST STE 102
Second Line :
City : DENTON
State : TX
Zip : 76201-2381
Country : US
Telephone Number : 940-387-2241
Fax Number : 940-380-1374
Provider Business Practice Location Address
First Line : 2401 W OAK ST STE 102
Second Line :
City : DENTON
State : TX
Zip : 76201-2381
Country : US
Telephone Number : 940-387-2241
Fax Number : 940-380-1374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 10/26/2020

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Directions to “ JOHN W JADERLUND MD” Practice Location

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