# DR. MICHAEL JOHN HUDOCK JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558987099
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2020018212 | MO | — |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | 14297943-1204 | UT | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | 58.034108 | OH | Yes |

## Other

- **Enumeration date:** 06/21/2020
- **Last updated:** 09/19/2026