MEDICARE: MICHAEL VERNE LADWIG 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
1	2083X0100X	Occupational Medicine Physician	24152	CO

General Provider Information

NPI Number	:	1952604985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL VERNE LADWIG M.D.

Provider Business Mailing Address
First Line	:	6900 E 47TH AVENUE DR STE 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80216-3449
Country	:	US
Telephone Number	:	303-333-4411
Fax Number	:	303-333-8719

Provider Business Practice Location Address
First Line	:	6900 E 47TH AVENUE DR STE 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80216-3449
Country	:	US
Telephone Number	:	303-333-4411
Fax Number	:	303-333-8719

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2010
Last Update Date	:	12/14/2010

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