Healthcare Provider Details

I. General information

NPI: 1508802406
Provider Name (Legal Business Name): MICHAEL V. LADWIG, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 E 47TH AVENUE DR SUITE 100
DENVER CO
80216-3463
US

IV. Provider business mailing address

6900 E 47TH AVENUE DR SUITE 100
DENVER CO
80216-3463
US

V. Phone/Fax

Practice location:
  • Phone: 303-333-4411
  • Fax: 303-333-8719
Mailing address:
  • Phone: 303-333-4411
  • Fax: 303-333-8719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number24152
License Number StateCO

VIII. Authorized Official

Name: DR. MICHAEL LADWIG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 303-333-4411