Individual
JUDE L STRATFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3903 STONEY RIDGE DR, FORT GRATIOT, MI 48059-3761
(810) 385-2295
Mailing address
3903 STONEY RIDGE DR, FORT GRATIOT, MI 48059-3761
(810) 385-2295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
50712
CO
207Q00000X
Family Medicine Physician
Primary
5101012723
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437125473
—
MI
Enumeration date
02/28/2006
Last updated
03/11/2013
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