Individual
KRISTEN E LUDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 364-4200
(616) 364-7347
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0102204800
VA
207L00000X
Anesthesiology Physician
Primary
5101024285
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2013
Last updated
05/20/2021
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