Individual
DR. SUSAN L LUEDKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6435 CHIPPEWA ST, SAINT LOUIS, MO 63109-2104
(315) 353-1870
(314) 353-0315
Mailing address
15945 CLAYTON RD, SUITE 120, BALLWIN, MO 63011-2490
(636) 256-5000
(636) 256-5100
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
R8493
MO
207RX0202X
Medical Oncology Physician
Primary
R8493
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200731842
—
MO
Enumeration date
06/20/2006
Last updated
12/15/2010
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