Individual
DR. RANDY MUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 NORTH AVE, BATTLE CREEK, MI 49017-3307
(269) 966-8334
Mailing address
300 NORTH AVE, BATTLE CREEK, MI 49017-3307
(269) 245-8056
(269) 966-8593
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301057699
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4434125
—
MI
Enumeration date
03/23/2006
Last updated
11/13/2020
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