Individual
DR. ERIC LADENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6145 N THESTA ST, FRESNO, CA 93710-5266
(559) 446-1065
(559) 272-5009
Mailing address
6145 N THESTA ST, FRESNO, CA 93710-5266
(559) 446-1065
(559) 272-5009
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G847370
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G847370
—
CA
01
—
16-1648232
TAX ID
CA
Enumeration date
06/01/2005
Last updated
04/25/2013
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