Individual
JENNIFER L LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 E DOUGLAS RD, STE 407, MISHAWAKA, IN 46545-1464
(574) 335-6500
(574) 335-0772
Mailing address
611 E DOUGLAS RD, STE 407, MISHAWAKA, IN 46545-1464
(574) 335-6500
(574) 335-0772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047304
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200105660
—
IN
01
—
200105660A
MEDICAID
IN
01
—
738460IIII
MEDICARE PROVIDER NUMBER
IN
Enumeration date
07/17/2006
Last updated
02/12/2013
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