Stephanie L. Ludtke in Milwaukee - Physician Assistant

Stephanie L. Ludtke - NPI 1831396761

Stephanie L. Ludtke is a Physician Assistant in Milwaukee, Wisconsin. Stephanie L. Ludtke practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stephanie L. Ludtke is 1831396761. The last update date is 2013-02-07.

Stephanie L. Ludtke's current location address is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4148050369 and fax number 4148057499. The mailing address for Stephanie L. Ludtke is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephanie L. Ludtke
Address 9200 W Wisconsin Ave, Milwaukee, Wisconsin
Phone Number 4148050369
Fax Number 4148057499
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1831396761
Provider Enumeration Date 2007-07-03
Last Updated Date 2013-02-07

Provider Mailing Address Detail

Address 9200 W Wisconsin Ave
City Milwaukee
State Wisconsin (WI)
Post Code 532263522
Phone Number 4148050369
Fax Number 4148057499

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 2152
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1831396761 WI --

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FAQs about Stephanie L. Ludtke

What is the Stephanie L. Ludtke's 1831396761?

The Stephanie L. Ludtke's NPI (National Provider Identifier) Number is 1831396761. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Stephanie L. Ludtke is physically located?

The Stephanie L. Ludtke is physically situated at the following address: 9200 W Wisconsin Ave, Milwaukee, WI, 532263522.

What is Stephanie L. Ludtke's area of expertise and its corresponding taxonomy classification?

The Stephanie L. Ludtke's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Stephanie L. Ludtke receive its 1831396761 assignment from the Centers for Medicare & Medicaid Services?

The Stephanie L. Ludtke was assigned its 1831396761 by the Centers for Medicare & Medicaid Services on 2007-07-03.

When was the information pertaining to Stephanie L. Ludtke most recently updated or revised?

The details related to Stephanie L. Ludtke, including its address, specialty, and other relevant information, were last updated or revised on 2013-02-07.

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