Provider Demographics
NPI:1679224273
Name:HUDSON PHYSICIANS, S.C.
Entity type:Organization
Organization Name:HUDSON PHYSICIANS, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:HADZIMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-531-6812
Mailing Address - Street 1:2651 HILLCREST DR STE 303
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-1789
Mailing Address - Country:US
Mailing Address - Phone:715-531-6800
Mailing Address - Fax:715-531-6801
Practice Address - Street 1:1973 SLOAN PL STE 225
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-2094
Practice Address - Country:US
Practice Address - Phone:715-531-6800
Practice Address - Fax:715-531-6801
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUDSON PHYSICIANS, S.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-14
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty