Individual
MS. MARY E HUYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
39901 TRADITIONS DRIVE, SUITE 210, NORTHVILLE, MI 48168
(248) 305-4400
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108-1633
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002867
MI
363AM0700X
Medical Physician Assistant
5601002867
MI
Other
Enumeration date
11/12/2007
Last updated
11/23/2015
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