Individual
DANIEL PATRICK LUDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0669
Mailing address
2330 ROSEMONT RD, BERKLEY, MI 48072-1850
(616) 821-5056
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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