| Gilbert R Ladd Iv Md Pc | |
|
3290 West Big Beaver Road Suite 509 Troy MI 48084 | |
| (248) 290-2220 | |
| (248) 290-4019 |
| Full Name | Gilbert R Ladd Iv Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3290 West Big Beaver Road, Troy, Michigan |
| Authorized Official Name and Position | Gilbert Russell Ladd (PRESIDENT) |
| Authorized Official Contact | 2482902220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilbert R Ladd Iv Md Pc 3290 West Big Beaver Road Suite 509 Troy MI 48084 Ph: (248) 290-2220 | Gilbert R Ladd Iv Md Pc 3290 West Big Beaver Road Suite 509 Troy MI 48084 Ph: (248) 290-2220 |
| NPI Number | 1730150616 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 09/25/2009 |
| Medicare PECOS PAC ID | 3678579950 |
|---|---|
| Medicare Enrollment ID | O20061010000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730150616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301073196 (Michigan) | Primary |
| Provider Name | Gilbert Russell Ladd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407941321 PECOS PAC ID: 1557367844 Enrollment ID: I20061010000323 |
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