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NPI Code Detail

MEDICARE: ARJUNA JAMES CUDDEBACK D.O.

MEDICARE: ARJUNA JAMES CUDDEBACK D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician25IB12865600NJ
2207X00000XOrthopaedic Surgery Physician5101027647MI
3207X00000XOrthopaedic Surgery Physician02004984AIN
4207X00000XOrthopaedic Surgery Physician13255-321WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285922328
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARJUNA JAMES CUDDEBACK D.O.
Provider Business Mailing Address
First Line : 616 MEIJER DR STE 101
Second Line :
City : CHARLOTTE
State : MI
Zip : 48813-8457
Country : US
Telephone Number : 517-543-7976
Fax Number :
Provider Business Practice Location Address
First Line : 616 MEIJER DR STE 101
Second Line :
City : CHARLOTTE
State : MI
Zip : 48813-8457
Country : US
Telephone Number : 517-543-7976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2011
Last Update Date : 02/18/2026

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