Healthcare Provider Details

I. General information

NPI: 1821928417
Provider Name (Legal Business Name): TRUDI BATES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E MEDICAL CENTER DR
ANN ARBOR MI
48109-5000
US

IV. Provider business mailing address

3666 CLOVERLAWN AVE
YPSILANTI MI
48197-3705
US

V. Phone/Fax

Practice location:
  • Phone: 734-764-7596
  • Fax:
Mailing address:
  • Phone: 734-787-8903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302033172
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: