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Individual
DR. MICHAEL JOHN HUDOCK JR.
Active
Individual
DR. MICHAEL JOHN HUDOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2020018212
MO
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
14297943-1204
UT
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
58.034108
OH
Other
Enumeration date
06/21/2020
Last updated
09/19/2026
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