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NPI Code Detail

MEDICARE: DANIEL F LADD P.A.

MEDICARE: DANIEL F LADD P.A.
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
1363A00000XPhysician Assistant5601001553MI

General Provider Information

NPI Number : 1689669251
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL F LADD P.A.
Provider Business Mailing Address
First Line : 1105 SIXTH ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2386
Country : US
Telephone Number : 231-935-2525
Fax Number :
Provider Business Practice Location Address
First Line : 3537 W FRONT ST STE A
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-7942
Country : US
Telephone Number : 231-935-2525
Fax Number : 231-935-3437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 03/05/2026

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Directions to “ DANIEL F LADD P.A.” Practice Location

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