Dr STACY L LUEDEMAN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012 from University Of Wisconsin Medical School.
COUNTY OF BROWN
3150 GERSHWIN DR
GREEN BAY
WI
543114328
Tel: 9203914700
Npi | 1639295421 |
Pac Id | 2365670833 |
Professional Enrollment Id | I20140107000895 |
Last Name | LUEDEMAN |
First Name | STACY |
Middle Name | L |
Suffix | |
Gender | F |
Credential | |
Medical School Name | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
Graduation Year | 2012 |
Primary Specialty | NURSE PRACTITIONER |
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Organization Legal Name | COUNTY OF BROWN |
Group Practice Pac Id | 1355435900 |
Number Of Group Practice Members | 11 |
Line 1 Street Address | 3150 GERSHWIN DR |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | GREEN BAY |
State | WI |
Zip Code | 543114328 |
Phone Number | 9203914700 |
Hospital Affiliation Ccn 1 | 520049 |
Hospital Affiliation Lbn 1 | BELLIN MEMORIAL HOSPITAL |
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Professional Accepts Medicare Assignment | M |
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