Individual
MRS. JANA LUDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 241-6258
(616) 241-6470
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 241-6258
(616) 241-6470
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2015
Last updated
01/06/2022
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