| Julia M Gudmundsen Pc | |
|
5001 W St Joe Hwy Lansing MI 48917-4023 | |
| (517) 321-2358 | |
| (517) 321-4420 |
| Full Name | Julia M Gudmundsen Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5001 W St Joe Hwy, Lansing, Michigan |
| Authorized Official Name and Position | Julia Mary Gudmundsen (PRESIDENT) |
| Authorized Official Contact | 5173212358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julia M Gudmundsen Pc 5001 W St Joe Hwy Lansing MI 48917-4023 Ph: (517) 321-2358 | Julia M Gudmundsen Pc 5001 W St Joe Hwy Lansing MI 48917-4023 Ph: (517) 321-2358 |
| NPI Number | 1144622655 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 09/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144622655 | NPI | - | NPPES |
| 1063597300 | Other | MI | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15606 (Michigan) | Primary |
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