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Organization

HUDSON PHYSICIANS S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERNIE WALLIN (ADMINISTRATOR DIRECTOR)
(715) 531-6800
Entity
Organization

Contact information

Practice address
403 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6800
(715) 531-6801
Mailing address
403 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6800
(715) 531-6801

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
05/15/2013
Last updated
05/15/2013
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