Individual
MARY JO LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
521 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4238
(253) 403-2900
Mailing address
521 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4238
(253) 403-2900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00031290
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8151284
—
WA
Enumeration date
07/26/2006
Last updated
08/11/2011
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