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NPI Code Detail

MEDICARE: DOROTHEA BUDEK FNP-BC

MEDICARE: DOROTHEA BUDEK FNP-BC
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
1363LF0000XFamily Nurse Practitioner6219-33WI
2363LF0000XFamily Nurse Practitioner4704267422MI

General Provider Information

NPI Number : 1427447895
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHEA BUDEK FNP-BC
Provider Business Mailing Address
First Line : N5241 US HWY 45
Second Line :
City : WATERSMEET
State : MI
Zip : 49969-0009
Country : US
Telephone Number : 906-358-4588
Fax Number :
Provider Business Practice Location Address
First Line : 1721 S STEPHENSON AVE
Second Line :
City : IRON MOUNTAIN
State : MI
Zip : 49801-3637
Country : US
Telephone Number : 906-776-1313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2015
Last Update Date : 01/08/2026

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Directions to “ DOROTHEA BUDEK FNP-BC” Practice Location

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