Dudek, Gerald

Dudek, Gerald is an individual health care provider with primary practice located at 827 E Division St , Cadillac MI 49601-2015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dudek, Gerald can be contacted via phone (231) 775-9741.

Contact Information

Primary practice address
827 E Division St Cadillac MI 49601-2015
Phone: (231) 775-9741
Fax: (231) 775-9333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X GD009255 Michigan

Profile Details

NPI number 1912908252
LBN Legal business name Dudek, Gerald
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912908252 NPPES
Michigan Other 101653 PREFERRED CHOICE ID
Michigan Other 0158300065 PREFERRED CHOICE ID
Michigan Other 0H36303 PREFERRED CHOICE ID
Michigan MEDICAID 3083473 PREFERRED CHOICE ID

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