Individual
ANNE DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5515 CLEVELAND AVE, STEVENSVILLE, MI 49127-9670
(269) 429-6604
(269) 429-1715
Mailing address
5515 CLEVELAND AVE, STEVENSVILLE, MI 49127-9670
(269) 429-6604
(269) 429-1715
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101018463
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588893283
—
MI
Enumeration date
07/02/2009
Last updated
02/28/2022
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