Individual
SAMANTHA D HUDRLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101020512
MI
208600000X
Surgery Physician
Primary
69776
MN
208600000X
Surgery Physician
72068
WI
Other
Enumeration date
06/27/2013
Last updated
08/11/2021
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