Individual
GARY R PADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
960 S LINCOLN AVE, LAKEVIEW, MI 48850-9178
(989) 352-8283
(989) 352-5723
Mailing address
PO BOX 649, LAKEVIEW, MI 48850-0649
(989) 352-8283
(989) 352-5723
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
GP004872
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141702788
—
MI
05
—
145187225
—
MI
05
—
145187243
—
MI
01
—
950E910550
BCBS PROVIDER GROUP NO
MI
01
—
950E950010
BCBS OF MICHIGAN PROV ID
MI
Enumeration date
05/25/2006
Last updated
02/03/2012
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