Individual
DR. MICHAEL JAMES HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6913 N MAIN ST, GRANGER, IN 46530-8039
(574) 647-1500
(574) 243-4343
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
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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