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Individual

DR. MICHAEL JAMES HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01046281A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000085182
BCBS MEMORIAL CHILDRENS HOSPITAL
IN
01
000000085183
BCBS BMG MAIN STREET
IN
01
000000085184
BCBS BMG SCHWARTZ
IN
01
000000989683
BCBS BMG IRELAND RD
IN
05
200130720
IN
Enumeration date
10/11/2005
Last updated
07/25/2016
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