Individual
DR. JAMES FREDERICK HULDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
421 SECOND ST, TRAVERSE CITY, MI 49684-2004
(231) 922-0775
Mailing address
421 SECOND ST, TRAVERSE CITY, MI 49684-2004
(231) 922-0775
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2901600123
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901600123
STATE ISSUED DENTAL LICENSE
MI
Enumeration date
06/05/2019
Last updated
06/05/2019
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