Individual
GLORIA JEAN PADILLA-CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 S LINCOLN ST, AUGUSTA, MI 49012-9758
(269) 731-5762
(269) 731-5764
Mailing address
600 S LINCOLN ST, AUGUSTA, MI 49012-9758
(269) 731-5762
(269) 731-5764
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005122
MI
Other
Enumeration date
03/07/2006
Last updated
07/17/2013
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