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Kelly D. Ludema, DO
Diagnostic Radiology Physician in Grand Rapids, Michigan
NPI 1497798268

Kelly D. Ludema is a Diagnostic Radiology Physician based in Grand Rapids, MI and is specialized in Diagnostic Radiology. Kelly D. Ludema practices in Grand Rapids, MI and has the professional credentials of DO. The NPI Number for Kelly D. Ludema is 1497798268 and holds a License No. 5101012386 (Michigan).

The current practice location address for Kelly D. Ludema is 3264 N Evergreen Dr Ne, Grand Rapids, MI and can be reached out via phone at 616-363-7339 and via fax at 616-361-5828.

Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI, 49525-9746
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Provider Profile Details
NPI Number
1497798268
Provider Name
Kelly D. Ludema
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3264 N Evergreen Dr Ne, Grand Rapids, MI, 49525-9746
Phone Number
616-363-7339
Fax Number
616-361-5828
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3053302594 01 MI BCBS MI INDIVIDUAL PIN
4535816 05 MI
1600668 01 MI PHP
institution
Provider Business Practice Location Address Details
Address
3264 N Evergreen Dr Ne
City
State
Zip
49525-9746
Phone Number
616-363-7339
Fax Number
616-361-5828
person
Provider Business Mailing Address Details
Address
3264 N Evergreen Dr Ne
City
State
Zip
49525-9746
Phone Number
616-363-7339
Fax Number
616-361-5828
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
5101012386 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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