Individual
MARY H LUDWICZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1660 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 414-2800
(360) 414-2803
Mailing address
PO BOX 3002, LONGVIEW, WA 98632-0302
(360) 414-2800
(360) 414-2803
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00032784
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074463
—
OR
01
—
102491
LABOR & IND
WA
01
—
160040953
RR MEDICARE
—
05
—
8178352
—
WA
Enumeration date
09/02/2005
Last updated
02/04/2022
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