Individual
MARK J. HUDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1811 SCHNEIDER ST NE, MERCY HEALTH CENTER, CANTON, OH 44721-3349
(330) 588-4884
(330) 494-6484
Mailing address
10963 WOLF AVENUE NE, HARTVILLE, OH 44632
(330) 877-8498
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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