Hyduke, Michael S

Hyduke, Michael S is an individual health care provider with primary practice located at 2500 Hall Ave Suite A Marinette County Health And Human Services, Marinette WI 54143. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Hyduke, Michael S can be contacted via phone (715) 732-7760.

Contact Information

Primary practice address
2500 Hall Ave Suite A Marinette County Health And Human Services Marinette WI 54143
Phone: (715) 732-7760
Fax: (715) 732-7711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 541123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 541123 Wisconsin

Profile Details

NPI number 1073602397
LBN Legal business name Hyduke, Michael S
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 27th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073602397 NPPES
Wisconsin MEDICAID 39627200
Wisconsin Other 541123

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