Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK J. HUDAK, M.D.
Active Sole ProprietorMARK J. HUDAK, M.D. is a Sports Medicine healthcare provider located in CANTON, Ohio. NPI 1215005087 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · CANTON, OH
Registration Details
- NPI Number
- 1215005087
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2006 (19.74589235844 yrs)
- Last Updated
- Feb 23, 2011
- Licenses
-
35-063048 (OH)35063048 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1811 SCHNEIDER ST NEMERCY HEALTH CENTERCANTON, OH, 447213349Browse OH providers · Browse ZIP 44721
- Phone
- 3305884884
- Fax
- 3304946484
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.