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Individual

MR. GERALD AUGUST HUG JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA CCC A

Contact information

Practice address
705 S MAIN ST, SUITE 205, PLYMOUTH, MI 48170-2089
(734) 451-0800
(734) 451-0813
Mailing address
705 S MAIN ST, SUITE 205, PLYMOUTH, MI 48170-2089
(734) 451-0800
(734) 451-0813

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000233
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
540H208620
BCBS OF MI
MI
01
640F326550
BCBS OF MI
MI
Enumeration date
11/16/2006
Last updated
11/10/2015
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