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Individual

HANS O LUDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3192
(216) 844-3014
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35042979
OH
2084P0005X
Neurodevelopmental Disabilities Physician
35042979
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221068
UNISON
OH
01
000000510692
ANTHEM
OH
05
0016294720002
PA
05
0447958
OH
01
1356382287
MICHIGAN MEDICAID
MI
01
415005
WELLCARE MEDICAID
OH
01
4472714
AETNA
OH
01
732360
BUCKEYE MEDICAID
OH
01
P00428933
MEDICARE RAILROAD
OH
Enumeration date
06/10/2006
Last updated
01/14/2021
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