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Individual

JAMES HUDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4340 CALLANDER DR SE, GRAND RAPIDS, MI 49508-8771
(616) 685-8550
(616) 455-8148
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
(616) 685-1850

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301042627
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3056037
MI
05
4175856
MI
Enumeration date
05/23/2006
Last updated
06/29/2009
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