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1629294988
TIMOTHY R HUDSON
GREEN BAY, WI
NPI
1629294988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WI 88355-030)
Enumeration Date
2007-04-17
Last Update Date
2021-12-03
Business Address
TIMOTHY R HUDSON CRNA
1726 SHAWANO AVE
GREEN BAY, WI 54303-3216
Phone number: 920-498-4200
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Mailing Address
TIMOTHY R HUDSON CRNA
138 SUNRISE CT
OCONTO FALLS, WI 54154-1261
Phone number: 920-846-8393
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