Individual
AVANTHI YASUNDARA TUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 672-2000
Mailing address
2645 HALL ST SE, EAST GRAND RAPIDS, MI 49506-3569
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301501118
MI
390200000X
Student in an Organized Health Care Education/Training Program
125-066651
IL
Other
Enumeration date
06/30/2015
Last updated
12/15/2023
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