Michael S Hyduke in Marinette - Clinical

Michael S Hyduke - NPI 1073602397

Michael S Hyduke is a Clinical in Marinette, Wisconsin. Michael S Hyduke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael S Hyduke is 1073602397. The last update date is 2008-02-27.

Michael S Hyduke's current location address is 2500 Hall Ave, Marinette, Wisconsin. You can contact this provider via phone number 7157327760 and fax number 7157327711. The mailing address for Michael S Hyduke is 2500 Hall Ave, Marinette, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael S Hyduke
Address 2500 Hall Ave, Marinette, Wisconsin
Phone Number 7157327760
Fax Number 7157327711
Sole Proprietor N
Credentials MSW

NPI Number Detail

NPI Number 1073602397
Provider Enumeration Date 2006-10-12
Last Updated Date 2008-02-27

Provider Mailing Address Detail

Address 2500 Hall Ave
City Marinette
State Wisconsin (WI)
Post Code 54143
Phone Number 7157327760
Fax Number 7157327711

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 541123
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39627200 WI --
541123 WI LICENSE NUMBER

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FAQs about Michael S Hyduke

What is the unique 10-digit identification code assigned to Michael S Hyduke by the Centers for Medicare & Medicaid Services?

The Michael S Hyduke has been issued the NPI (National Provider Identifier) 1073602397, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Michael S Hyduke is geographically located?

The Michael S Hyduke is physically situated at the following location: 2500 Hall Ave, Marinette, WI, 54143.

What is Michael S Hyduke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michael S Hyduke is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date was the 1073602397 assigned to Michael S Hyduke?

The Michael S Hyduke was issued its 1073602397 on 2006-10-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Michael S Hyduke most recently updated or refreshed?

The details pertaining to the Michael S Hyduke, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-27.

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