Doctor Name: | MICHAEL DAVID LADO |
NPI Number: | 1649408162 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD065648L |
Business Practice Address: | 1828 Ridgewood Rd Orwigsburg, PA - 179619525 |
Business Phone Number: | 5705733001 |
Business Fax Number: | 5703662304 |
Mailing Address: | 1828 Ridgewood Rd, ORWIGSBURG |
State: | PA |
Postal Code: | 179619525 |
Phone Number: | 5705733001 |
Fax Number: | 5703662304 |
NPI Enumeration Date: | 06/23/2009 |
NPI Last Update Date: | 06/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | MD065648L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |