Individual
DENNIS MICHAEL HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
(920) 430-7114
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34059
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31203200
—
WI
Enumeration date
07/14/2006
Last updated
04/02/2020
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