Organization
DENTAL HEALTH PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E. LUEDER D.D.S. (OWNER)
(231) 775-9797
Entity
Organization
Contact information
Practice address
7800 US 131 S, CADILLAC, MI 49601-8437
(231) 775-9797
(231) 775-9793
Mailing address
7800 US 131 S, CADILLAC, MI 49601-8437
(231) 775-9797
(231) 775-9793
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11025
MI
1223G0001X
General Practice Dentistry
Primary
11088
MI
1223G0001X
General Practice Dentistry
11842
MI
1223G0001X
General Practice Dentistry
15351
MI
1223G0001X
General Practice Dentistry
19225
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121637732
—
MI
05
—
121637750
—
MI
05
—
122633451
—
MI
05
—
124038196
—
MI
05
—
124993571
—
MI
Enumeration date
02/01/2006
Last updated
01/27/2012
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