Kudirka, Anthony L

Kudirka, Anthony L is an individual health care provider with primary practice located at 1000 Harrington St , Mount Clemens MI 48043-2920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kudirka, Anthony L can be contacted via phone (586) 493-8098.

Contact Information

Primary practice address
1000 Harrington St Mount Clemens MI 48043-2920
Phone: (586) 493-8098
Fax: (586) 493-8706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301050082 Michigan

Profile Details

NPI number 1114955838
LBN Legal business name Kudirka, Anthony L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Nov 26th, 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 1114955838 NPPES
Michigan Other 310E011330 BCBS GROUP#
Michigan MEDICAID 4085418 BCBS GROUP#
Michigan Other 300119457 BCBS GROUP#
Michigan Other 3005011962 BCBS GROUP#

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