Individual
DR. DAVID DUANE UDEHN
Active
Individual
DR. DAVID DUANE UDEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036063883
IL
207T00000X
Neurological Surgery Physician
Primary
4301095933
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063883
—
IL
01
—
08132080
BLUE CROSS BLUE SHIELD
IL
05
—
1548256910
—
MI
01
—
DD6333
RAILROAD MEDICARE
IL
Enumeration date
09/21/2005
Last updated
06/20/2014
Update your record
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