Hodulik, Michael J
Hodulik, Michael J is an individual health care provider with primary practice located at 1800 Lawrence Dr , De Pere WI 54115-9108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hodulik, Michael J can be contacted via phone (920) 983-3220.Contact Information
Primary practice address
1800 Lawrence Dr
De Pere WI 54115-9108
Phone: (920) 983-3220
Fax: (920) 983-3226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30409-20 | Wisconsin |
Profile Details
| NPI number | 1295784544 |
|---|---|
| LBN Legal business name | Hodulik, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Mar 17th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295784544 | NPPES |
| Wisconsin | Other | 30409-20 | WISCONSIN LICENSE |
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