Individual
MS. STEPHANIE L. LUDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-0369
(414) 805-7499
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-0369
(414) 805-7499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2152
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831396761
—
WI
Enumeration date
07/03/2007
Last updated
02/07/2013
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