| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DANIEL JOHN LUDEMAN | 1639746043 | 2021-06-06 |
Daniel John Ludeman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1639746043. Registration indicates Daniel John Ludeman is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Daniel John Ludeman PA-C |
| Practice Office Address | 1013 W BUFFALO ST WARSAW, NY US |
| Practice Office Telephone | 7149289642 |
| Mailing Address | 4784 LAKEVIEW AVE YORBA LINDA, CA 928862488 US |
| Business Telephone | 7149289642 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 029462
NY |