Individual
DR. THOMAS EDWARD DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 GRANT BLVD W, WABASHA, MN 55981-1042
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
49706
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49706
LICENSE
MN
Enumeration date
06/13/2007
Last updated
03/07/2023
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