Individual
MICHAEL PETER DUDENHOEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
606 E HIGH ST, JEFFERSON CITY, MO 65101-3279
(573) 635-2211
(573) 636-9350
Mailing address
606 E HIGH ST, JEFFERSON CITY, MO 65101-3279
(573) 635-2211
(573) 636-9350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1F18
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242735520
—
MO
Enumeration date
06/09/2005
Last updated
04/24/2008
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