Individual
MR. MICHAEL DUDELCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1807 2ND ST STE 44B, SANTA FE, NM 87505-3519
(505) 757-7080
(505) 757-7080
Mailing address
1807 2ND ST STE 44B, SUITE 44B, SANTA FE, NM 87505-3519
(505) 757-7080
(505) 757-7080
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7524
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2303
—
NM
Enumeration date
04/27/2006
Last updated
11/12/2011
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