Individual
DR. JOANN C DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
915 SUMMIT AVE, OCONOMOWOC, WI 53066-3921
(262) 560-3700
(262) 569-2266
Mailing address
S48W34533 RUE CHANTILLY, DOUSMAN, WI 53118-9620
(262) 244-7457
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29862
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962517128
—
WV
Enumeration date
08/20/2006
Last updated
03/07/2023
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