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Organization

HURLEY HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES BUTERAKOS (EXECUTIVE DIRECTOR)
(810) 262-2160
Entity
Organization

Contact information

Practice address
4272 W VIENNA RD, CLIO, MI 48420-9454
(810) 687-2850
(810) 687-9359
Mailing address
1125 S LINDEN RD, SUITE 210, FLINT, MI 48532-4073
(810) 262-2160
(810) 732-2232

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
208600000X
Surgery Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0M32030
MEDICARE PTAN
MI
01
70-0-B5-1070-0
BCBS OF MICHIGAN GROUP #
MI
Enumeration date
06/10/2006
Last updated
03/17/2018
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