Individual
PADRAIC C. CARMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3125 W. MAIN STREET, KALAMAZOO, MI 49006-2997
(269) 372-2846
Mailing address
5044 WHIPPOORWILL DRIVE, KALAMAZOO, MI 49009-4526
(269) 372-2846
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301053739
MI
208600000X
Surgery Physician
53739
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102592947
—
MI
05
—
2592949
—
MI
Enumeration date
04/11/2006
Last updated
09/15/2010
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