Individual
MICHAEL ALAN LEDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8148 FARMHURST LANE, INDIANAPOLIS, IN 46236
(989) 793-7779
(989) 793-7137
Mailing address
8148 FARMHURST LANE, INDIANAPOLIS, IN 46236
(989) 793-7779
(989) 793-7137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301038648
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0737374
BCBS
MI
Enumeration date
08/29/2006
Last updated
05/01/2023
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