Roxanne Shudark
NPI #1013372515 in Houghton Lake, Michigan
Provider Information
- NPI Number
- 1013372515
- Entity Type
- Individual
- Name
- Roxanne Shudark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Dec 28, 2015
- Last Updated
- Dec 28, 2015
Practice Location
- Address
- 106 TOEPHER DR
- City
- Houghton Lake
- State
- Michigan
- ZIP Code
- 48629-9278
- Phone
- (989) 630-3409
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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