Organization
GILBERT R LADD IV MD PC
Active
Organization
GILBERT R LADD IV MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT RUSSELL LADD IV M.D. (PRESIDENT)
(248) 290-2220
Entity
Organization
Contact information
Practice address
3290 WEST BIG BEAVER ROAD, SUITE 509, TROY, MI 48084
(248) 290-2220
(248) 290-4019
Mailing address
3290 WEST BIG BEAVER ROAD, SUITE 509, TROY, MI 48084
(248) 290-2220
(248) 290-4019
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301073196
MI
Other
Enumeration date
01/30/2006
Last updated
09/25/2009
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