Individual
MS. RITA MARIE LUEDKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
744 S WEBSTER AVE, 455 S RIVER ROAD, GREEN BAY, WI 54301-3505
(920) 445-7226
(920) 445-7229
Mailing address
744 S WEBSTER AVE, 455 S RIVER ROAD, GREEN BAY, WI 54301-3505
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
49409
WI
367H00000X
Anesthesiologist Assistant
49409
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43350900
—
WI
Enumeration date
06/11/2006
Last updated
04/11/2016
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