Organization
WAYNE R. HUDSON, DO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE ROSS HUDSON DO (PRESIDENT)
(419) 394-4044
Entity
Organization
Contact information
Practice address
1134 HAGER ST, SAINT MARYS, OH 45885-2423
(419) 394-4044
(419) 394-1655
Mailing address
1134 HAGER ST, SAINT MARYS, OH 45885-2423
(419) 394-4044
(419) 394-1655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
6421
OH
208D00000X
General Practice Physician
Primary
6421
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467436527
NPI
OH
05
—
2002031
—
OH
Enumeration date
04/16/2007
Last updated
04/22/2008
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