Individual
DR. WILLIAM J LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3300
Mailing address
342 BALDWIN RD, BIRMINGHAM, MI 48009-1360
(313) 598-0878
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101010317
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113402922
—
MI
05
—
114604593
—
MI
01
—
WL010317
BC/BS OF MI
MI
Enumeration date
03/27/2006
Last updated
04/20/2017
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