Individual
EWA ZOFIA DUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3559 SHADY BEACH BLVD, ORCHARD LAKE, MI 48324-3057
(248) 535-2498
Mailing address
3559 SHADY BEACH BLVD, ORCHARD LAKE, MI 48324-3057
(248) 535-2498
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704228213
MI
Other
Enumeration date
06/12/2022
Last updated
06/12/2022
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