Organization
J. FREDERICK HYDUKE, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRICK J HYDUKE M.D. (AUTHORIZED OFFICIAL)
(540) 994-8100
Entity
Organization
Contact information
Practice address
2400 LEE HWY N, PULASKI, VA 24301-2326
(540) 994-8100
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005752345
—
VA
Enumeration date
06/12/2006
Last updated
12/27/2007
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