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Individual
MARK J. HUDAK
Active
Individual
MARK J. HUDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-063048
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35063048
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2176925
—
OH
Enumeration date
12/01/2006
Last updated
02/23/2011
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