Individual
DR. MICHAEL JOHN HUDOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(314) 362-5000
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2020018212
MO
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
58.034108
OH
Other
Enumeration date
06/21/2020
Last updated
12/28/2024
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