Individual
DR. MELISSA RAY HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
611 W PARK ST, EMERGENCY MEDICINE, URBANA, IL 61801
(217) 383-3313
(217) 383-4014
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036123181
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
55416-21
WI
Other
Enumeration date
08/14/2010
Last updated
08/06/2016
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