Individual
TIFFANY M. LUDKA-GAULKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9911 N NEVADA ST, SPOKANE, WA 99218-1298
(509) 626-9420
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53392
WI
207R00000X
Internal Medicine Physician
Primary
MD60563033
WA
208000000X
Pediatrics Physician
53392
WI
208000000X
Pediatrics Physician
MD60563033
WA
Other
Enumeration date
09/04/2008
Last updated
06/16/2021
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