Individual
TIMOTHY R HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 498-4200
Mailing address
138 SUNRISE CT, OCONTO FALLS, WI 54154-1261
(920) 846-8393
(920) 846-9966
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
88355-030
WI
Other
Enumeration date
04/17/2007
Last updated
12/03/2021
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