Jennifer Lynn Hudson, DO | |
230 S Maple St, Grant, MI 49327-9006 | |
(231) 834-5995 | |
Not Available |
Full Name | Jennifer Lynn Hudson |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 230 S Maple St, Grant, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154617017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101019419 (Michigan) | Primary |
Entity Name | Memorial Medical Center Of West Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972589489 PECOS PAC ID: 3678543659 Enrollment ID: O20071128000647 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Lynn Hudson, DO 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Jennifer Lynn Hudson, DO 230 S Maple St, Grant, MI 49327-9006 Ph: (231) 834-5995 |
Dr. Robert Gunnell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 S Maple St, Grant, MI 49327 Phone: 231-834-5995 Fax: 231-924-0248 | |
Dr. Pascual Sevilla-moya, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11 N Maple St, Grant, MI 49327 Phone: 231-834-0444 Fax: 231-834-0200 | |
Dr. Jeffrey Dean Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 N Maple St, Grant, MI 49327 Phone: 231-834-0444 Fax: 231-834-0200 |