Individual
JULIE B TREDEMEYER
Active
Individual
JULIE B TREDEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02005045A
IN
207R00000X
Internal Medicine Physician
5101016715
MI
207RG0100X
Gastroenterology Physician
Primary
02005045A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300008446
—
IN
Enumeration date
07/02/2006
Last updated
08/30/2024
Update your record
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