Individual
COLLIN MARIO LUDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
840 COOK RD, HASTINGS, MI 49058-9616
(269) 945-9520
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007137
MI
Other
Enumeration date
08/13/2014
Last updated
02/25/2021
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