Individual
HEIDI LOUISE LUDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
(262) 434-5050
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
55703
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
55703
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100022414
—
WI
05
—
1275767279
—
WI
Enumeration date
05/06/2009
Last updated
06/30/2025
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