MEDICARE: STANLEY E DUDEK MD

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
1	207Y00000X	Otolaryngology Physician	4301039222	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4414142	OTHER	MI	AETNA

General Provider Information

NPI Number	:	1962552794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STANLEY E DUDEK MD

Provider Business Mailing Address
First Line	:	2121 ABBOTT RD
Second Line	:	SUITE3
City	:	EAST LANSING
State	:	MI
Zip	:	48823-8535
Country	:	US
Telephone Number	:	517-351-6000
Fax Number	:	517-351-0473

Provider Business Practice Location Address
First Line	:	2121 ABBOTT RD
Second Line	:	SUITE3
City	:	EAST LANSING
State	:	MI
Zip	:	48823-8535
Country	:	US
Telephone Number	:	517-351-6000
Fax Number	:	517-351-0473

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	12/28/2007

Similar Medicare Providers

1902776693 — OPENAIR DENTAL SLEEP MEDICINE PLLC
Practice Location Address:

2121 ABBOT RD STE 2A
EAST LANSING, MI
48823-8535

Practice Phone: 517-351-1733
Practice Fax:

1760523435 — DR. DANIEL R KLEIN DDS
Practice Location Address:

2121 ABBOTT RD
EAST LANSING, MI
48823-8535

Practice Phone: 517-337-0032
Practice Fax:

1992966766 — JOHN W. MASHNI, D.D.S., P.C.
Practice Location Address:

2121 ABBOT RD
EAST LANSING, MI
48823-8535

Practice Phone: 517-351-1733
Practice Fax: 517-351-5709

1427306273 — DR. JAMES MICHAEL MASHNI DDS
Practice Location Address:

2121 ABBOTT RD
EAST LANSING, MI
48823-8535

Practice Phone: 517-351-1733
Practice Fax: 517-351-5709

1548601107 — DR. JASON MASHNI DDS
Practice Location Address:

2121 ABBOT RD
EAST LANSING, MI
48823-8535

Practice Phone: 517-351-1733
Practice Fax:

1578963237 — JACOB MYERS, DDS, PLLC
Practice Location Address:

2121 ABBOT RD
EAST LANSING, MI
48823-8535

Practice Phone: 517-337-0032
Practice Fax:

Directions to “ STANLEY E DUDEK MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.