Individual
DR. MICHAEL T CUDNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-5883
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD25637
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015388000
BCBS
—
01
—
0204780
WA L&I
—
05
—
023222
—
OR
05
—
8445017
—
WA
Enumeration date
06/12/2006
Last updated
11/27/2007
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