Individual
ALEXANDER SHELTON JUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
440 WOODWARD AVE, IRON MOUNTAIN, MI 49801-4631
(900) 677-6904
(906) 774-7279
Mailing address
440 WOODWARD AVE, IRON MOUNTAIN, MI 49801-4631
(900) 677-6904
(906) 774-7279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
063937
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080099765
RAILROAD MEDICARE
MI
05
—
32319900
—
WI
05
—
3366460
—
MI
Enumeration date
07/21/2005
Last updated
09/20/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us