Individual provider · NPI-1

David Thomas Ade, MD

Internal Medicine · Moline, IL

NPI number1972589042
StatusActive
Last updated in NPPESNov 28, 2023

Details

NPI
1972589042
Entity type
Individual (NPI-1)
Name
David Thomas Ade
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 20, 2005
Certification date
Nov 28, 2023
Last updated
Nov 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036062963ILYes

Practice location

870 36th Ave
Moline, IL 61265-7159

Phone 309-623-7100 · Fax 309-623-7079

Mailing address

870 36th Ave
Moline, IL 61265-7159

Phone 309-623-7100 · Fax 309-623-7079

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