Individual
MR. MICHAEL LUDWIKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., ATC.
Contact information
Practice address
1100 GRAMPIAN BLVD, DIVINE PROVIDENCE HOSPITAL SPORTS MEDICINE, WILLIAMSPORT, PA 17701-1909
(570) 320-7456
(570) 320-7455
Mailing address
1655 GRAHAM RD, WILLIAMSPORT, PA 17701-1763
(570) 326-3090
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000465A
PA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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