Individual
DR. HOWARD R USITALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14650 E OLD US HIGHWAY 12, CHELSEA, MI 48118-1801
(734) 593-4220
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301046819
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H10723
BCBSM
MI
05
—
102705381
—
MI
01
—
3408102461
BCBS OF MI
MI
Enumeration date
05/09/2007
Last updated
08/11/2020
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