| Doctor Name: | DR. JOHN RICHARD LUDTKE |
| NPI Number: | 1750305959 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35.091672 |
| Business Practice Address: | 3155 Research Blvd Suite 201 Kettering, OH - 454204020 |
| Business Phone Number: | 9377751400 |
| Business Fax Number: | 9377751403 |
| Mailing Address: | Division Of Aerospace Medicine, 3640 Col. Glenn Highway DAYTON |
| State: | OH |
| Postal Code: | 454350001 |
| Phone Number: | 9377751400 |
| Fax Number: | 9377751403 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 12/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35.091672 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |