Individual
DR. GARY BRENT LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
2100 52ND AVE, MOLINE, IL 61265-6366
(309) 797-2900
(309) 797-2147
Mailing address
2100 52ND AVE, MOLINE, IL 61265-6366
(309) 797-2900
(309) 797-2147
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071-006292
IL
Other
Enumeration date
08/09/2006
Last updated
01/23/2013
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