MR. Russel Grover Ladwig, PAC

NPI #1235163858 in Madera, California

Provider Information

NPI Number: 1235163858
Entity Type: Individual
Name: MR. Russel Grover Ladwig, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jul 10, 2006
Last Updated: Mar 23, 2022

Practice Location

Address: 9300 VALLEY CHILDRENS PL
City: Madera
State: California
ZIP Code: 93636-8762
Phone: (559) 353-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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