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NPI Code Detail

MEDICARE: STEVEN W HUDER MD

MEDICARE: STEVEN W HUDER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianSH067274MI

General Provider Information

NPI Number : 1871585166
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN W HUDER MD
Provider Business Mailing Address
First Line : 1150 E SHERMAN BLVD STE 2400
Second Line :
City : MUSKEGON
State : MI
Zip : 49444-1886
Country : US
Telephone Number : 231-672-4243
Fax Number : 231-727-4214
Provider Business Practice Location Address
First Line : 1150 E SHERMAN BLVD STE 2400
Second Line :
City : MUSKEGON
State : MI
Zip : 49444-1886
Country : US
Telephone Number : 231-672-4243
Fax Number : 231-727-4214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 10/13/2023

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