Individual
MARK F LUDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40058
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125698
UCARE
MN
05
—
1916122
—
IA
01
—
370011044
RR MEDICARE
MN
01
—
54A06LU
BCBS MPIN
MN
05
—
863717200
—
MN
Enumeration date
10/03/2006
Last updated
05/26/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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