Individual
MICHAEL M HUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204
(501) 663-3647
(501) 666-9653
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204
(501) 663-3647
(501) 666-9653
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME114728
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
AR E-8683
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205878001
—
AR
01
—
371132YQCR
MEDICARE PTAN
AR
01
—
E-8683
AR MEDICAL LICENSE
AR
Enumeration date
06/17/2008
Last updated
03/28/2018
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