# ROGER DEAN LUDWIG JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134158454
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OP00001576 | WA | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080156323 | RAILROAD MEDICARE | — |
| 01 | — | 1237LU | REGENCE BLUESHIELD | — |
| 01 | — | 136436 | LABOR & INDUSTRIES | WA |
| 01 | — | 7181118 | AETNA | — |
| 05 | — | 8243594 | — | WA |
| 01 | — | 8939762 | CRIME VICTIMS COMP | WA |