Individual
MICHAEL A LUDWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1839 N GOVERNMENT WAY, COEUR D ALENE, ID 83814-3454
(208) 765-0156
(208) 292-3177
Mailing address
1839 N GOVERNMENT WAY, COEUR D ALENE, ID 83814-3454
(208) 765-0156
(208) 292-3177
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M-9338
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010151353
REGENCE BLUESHIELD
—
01
—
0216896
WASHINGTON L & I
WA
01
—
75366
BLUE CROSS
ID
05
—
806887300
—
ID
01
—
8948153
CRIME VICTIMS COMP FUND
—
01
—
P00242347
RR MEDICARE
—
Enumeration date
09/22/2006
Last updated
07/31/2020
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