Individual
JOSE ABRAN PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 OAKLEAF WAY, SUITE A, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187
Mailing address
1200 OAKLEAF WAY, SUITE A, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
48435
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09 02319
MEDICA/SELECTCARE EC
WI
01
—
09 02322
MEDICA/SELECTCARE CF
WI
01
—
107813
SECURITY HEALTH PLAN
WI
05
—
34823300
—
WI
Enumeration date
06/22/2006
Last updated
12/20/2021
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