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Organization

HUDSON PHYSICIANS, S.C.

Active
Parent organization
HUDSON PHYSICIANS, S.C.
Other names
Hudson Physicians Quick Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
HUDSON PHYSICIANS, S.C.
Authorized official
GERI T HOUSE (CREDENTIALING COORDINATOR ADMIN)
(715) 531-6060
Entity
Organization

Contact information

Practice address
2310 CRESTVIEW DR, HUDSON, WI 54016-9315
(715) 531-6802
(715) 531-6803
Mailing address
403 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6800
(715) 531-6801

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000056125
MEDICARE
WI
05
32723100
WI
Enumeration date
07/24/2008
Last updated
09/11/2013
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