DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. GILBERT RUSSELL LADD IV M.D.

MEDICARE: DR. GILBERT RUSSELL LADD IV M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianGL073196MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
138-3513013OTHERMITAX ID#

General Provider Information

NPI Number : 1407941321
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GILBERT RUSSELL LADD IV M.D.
Provider Business Mailing Address
First Line : 3290 W BIG BEAVER RD STE 509
Second Line :
City : TROY
State : MI
Zip : 48084-2917
Country : US
Telephone Number : 248-290-2220
Fax Number : 248-290-4019
Provider Business Practice Location Address
First Line : 3290 W BIG BEAVER RD STE 509
Second Line :
City : TROY
State : MI
Zip : 48084-2917
Country : US
Telephone Number : 248-290-2220
Fax Number : 248-290-4019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 09/26/2009

Similar Medicare Providers

1275916199 — SHAWTA REED
Practice Location Address:
3290 W BIG BEAVER RD STE 510
TROY, MI
48084-2917
Practice Phone: 734-513-2731
Practice Fax:
1790135374 — MISTY WEINER
Practice Location Address:
3290 W BIG BEAVER RD STE 510
TROY, MI
48084-2917
Practice Phone: 616-370-3097
Practice Fax:
1740726322 — MICHAEL GUZMAN
Practice Location Address:
3290 W BIG BEAVER RD STE 510
TROY, MI
48084-2917
Practice Phone: 586-404-9400
Practice Fax:
1669913125 — SIENNA HILL
Practice Location Address:
3290 W BIG BEAVER RD STE 510
TROY, MI
48084-2917
Practice Phone: 303-989-8169
Practice Fax:
1043786874 — WILMAR SUAN
Practice Location Address:
3290 W BIG BEAVER RD STE 510
TROY, MI
48084-2917
Practice Phone: 734-513-2731
Practice Fax:
1760033088 — KENYA JACKSON
Practice Location Address:
3290 W BIG BEAVER RD STE 510
TROY, MI
48084-2917
Practice Phone: 248-513-2731
Practice Fax:

Directions to “ DR. GILBERT RUSSELL LADD IV M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.