Individual
JOHANNES JUDE BUITEWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4480 ARCADA DR, ALMA, MI 48801-9593
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, STE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301406677
MI
2085R0204X
Vascular & Interventional Radiology Physician
4301406677
MI
Other
Enumeration date
07/17/2006
Last updated
05/24/2016
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