Individual
MICHAEL J. HUETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5980 N LA CHOLLA BLVD, TUCSON, AZ 85741-3535
(520) 887-3333
(520) 887-3344
Mailing address
PO BOX 37075, TUCSON, AZ 85740-7075
(520) 887-3333
(520) 887-3344
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25976
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
25976
AZ
207ND0900X
Dermatopathology Physician
25976
AZ
207NS0135X
Procedural Dermatology Physician
25976
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426272002
—
AZ
Enumeration date
05/27/2005
Last updated
10/06/2022
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