NPI 1134250921

Clemon Pardales, DO

Practitioner Anesthesiology Physician Jackson, MI

Practice location

Address: 2775 Blake Rd, Jackson, MI 49201-8838
Phone: (517) 787-2906
Fax: (517) 787-3039
Mailing address: PO Box 609, Union Lake, MI 48387-0609

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 5101005389 (MI)

Other Anesthesiology providers in Michigan →

Registry record

NPI: 1134250921
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.