Individual
MICHAEL HUDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14768 FIRESIDE CIR, COLD SPRING, MN 56320-9757
(320) 333-3805
Mailing address
14768 FIRESIDE CIR, COLD SPRING, MN 56320-9757
(320) 333-3805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
039318-1
NY
183500000X
Pharmacist
119547
MN
183500000X
Pharmacist
Primary
28RI01765800
NJ
183500000X
Pharmacist
PR036359R
PA
183500000X
Pharmacist
PR4019
ME
Other
Enumeration date
03/07/2010
Last updated
03/07/2010
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