Provider Demographics
NPI:1316956931
Name:FELDPAUSCH, DALE ELDRED JR (MD)
Entity type:Individual
Prefix:DR
First Name:DALE
Middle Name:ELDRED
Last Name:FELDPAUSCH
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-7639
Mailing Address - Country:US
Mailing Address - Phone:919-563-2500
Mailing Address - Fax:919-563-3535
Practice Address - Street 1:101 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-7639
Practice Address - Country:US
Practice Address - Phone:336-538-1234
Practice Address - Fax:336-538-2390
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2022-05-25
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Provider Licenses
StateLicense IDTaxonomies
MI4301072732207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIH51626Medicare UPIN