| Doctor Name: | TERRI LYNN LADWIG |
| NPI Number: | 1003066218 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP-BC |
| License Number: | 4704180121 |
| Business Practice Address: | 28455 Haggerty Rd Ste 200 Novi, MI - 483772982 |
| Business Phone Number: | 2488933200 |
| Business Fax Number: | 2488932950 |
| Mailing Address: | 6676 Solutions Ctr, CHICAGO |
| State: | IL |
| Postal Code: | 606776006 |
| Phone Number: | 2488933220 |
| Fax Number: | 2488932951 |
| NPI Enumeration Date: | 09/24/2008 |
| NPI Last Update Date: | 12/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2100X |
| License Number: | 4704180121 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |