Individual
JILL E DUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Mailing address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601004428
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H14989
BCBS GROUP
MI
01
—
1069223680
BCBS INDIVIDUAL
MI
Enumeration date
08/31/2006
Last updated
12/03/2025
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