Organization
BREMENTOWN PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D LUEDEKE M.D. (PHYSICIAN)
(419) 629-2662
Entity
Organization
Contact information
Practice address
200 SAINT CLAIR AVE, SAINT MARYS, OH 45885-2400
(419) 629-2662
Mailing address
71 RUMMEL CREEK DR, NEW BREMEN, OH 45869-9666
(419) 629-2662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35048500L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3012064
—
OH
Enumeration date
12/09/2009
Last updated
03/09/2010
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