Edward Tanudjaja, DO

NPI #1003499229 in Muskegon, Michigan

Provider Information

NPI Number
1003499229
Entity Type
Individual
Name
Edward Tanudjaja, DO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Internal Medicine
Credential
DO
Enumeration Date
May 5, 2021
Last Updated
May 5, 2021

Practice Location

Address
1500 E SHERMAN BLVD
ZIP Code
49444-1849
Phone
(231) 672-2000

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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