Individual
DR. JASON R LADWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1535 GULL RD, STE 130, KALAMAZOO, MI 49048-1650
(269) 345-1161
(269) 345-8076
Mailing address
1535 GULL RD, STE 130, KALAMAZOO, MI 49048-1650
(269) 345-1161
(269) 345-8076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01058980A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01058980A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301076107
MI
207RP1001X
Pulmonary Disease Physician
01058980A
IN
207RP1001X
Pulmonary Disease Physician
Primary
4301076107
MI
Other
Enumeration date
08/15/2007
Last updated
05/02/2016
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