Organization
LUDAG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT T WOODBURN MD (OWNER)
(219) 763-2246
Entity
Organization
Contact information
Practice address
8701 BROADWAY, MERRILLVILLE, IN 46410-7035
(574) 271-2558
(574) 273-1137
Mailing address
8701 BROADWAY, MERRILLVILLE, IN 46410-7035
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200397270A
—
IN
05
—
200397270B
—
IN
Enumeration date
05/25/2006
Last updated
01/14/2025
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