Individual
DR. KENNETH FRED LUEDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4943 W FOND DU LAC AVE, MILWAUKEE, WI 53216-2324
(414) 873-3020
Mailing address
4943 W FOND DU LAC AVE, MILWAUKEE, WI 53216-2324
(414) 873-3020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5000666
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33534200
—
WI
Enumeration date
06/05/2008
Last updated
06/05/2008
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