Provider Demographics
NPI:1023296050
Name:DUHN, VALERIE SIQUEIRA (MD)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:SIQUEIRA
Last Name:DUHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 E. MICHIGAN AVE, STE 201
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007
Mailing Address - Country:US
Mailing Address - Phone:269-349-6759
Mailing Address - Fax:269-349-7450
Practice Address - Street 1:521 E. MICHIGAN AVE, STE 201
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007
Practice Address - Country:US
Practice Address - Phone:269-349-6759
Practice Address - Fax:369-349-7450
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01066395A207RN0300X
GA059147207RN0300X
MI4301096045207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000642049OtherANTHEM PROVIDER NUMBER
IN200965400Medicaid
IN815500EE4Medicare PIN
INP00803377Medicare PIN