Individual
ALBERT W. HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
698 FEATHERSTONE RD, ROCKFORD, IL 61107-6303
(815) 398-3277
Mailing address
698 FEATHERSTONE RD, ROCKFORD, IL 61107-6303
(815) 398-3277
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
55177
WI
207ND0900X
Dermatopathology Physician
Primary
036045616
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036045616
—
IL
Enumeration date
01/20/2006
Last updated
01/19/2015
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