Individual
MICHELLE R DUDZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9301 W 74TH ST, SUITE 130, SHAWNEE MISSION, KS 66204-2207
(913) 632-9130
(913) 632-9149
Mailing address
9301 W 74TH ST, SUITE 130, SHAWNEE MISSION, KS 66204-2207
(913) 632-9130
(913) 632-9149
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
100151
MO
207VX0201X
Gynecologic Oncology Physician
Primary
427545
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160056241
RAILROAD MEDICARE
—
01
—
18093039
BCBS OF KANSAS CITY
—
05
—
203448204
—
MO
01
—
33677
HEALTHCARE USA
—
01
—
4408217
AETNA
—
01
—
7400201
UHC
—
Enumeration date
05/25/2006
Last updated
05/19/2016
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