Individual
CARLOS R PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4632 GENESYS PKWY, GRAND BLANC, MI 48439-8067
(810) 606-7181
(810) 606-7174
Mailing address
4632 GENESYS PKWY, GRAND BLANC, MI 48439-8067
(810) 606-7181
(810) 606-7174
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101015882
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4614885
—
MI
Enumeration date
04/21/2006
Last updated
07/12/2010
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