Edward Tanudjaja is a Internal Medicine Physician in the MUSKEGON area. Edward Tanudjaja primary office location is at 1500 E SHERMAN BLVD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1003499229 and the information was updated approximately 5 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: NO
| License Number | State |
|---|---|
| 5151015204 | MI |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | MI | Y |