Individual
RICHARD A. HUMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 BEAUBIEN BLVD -, CHILDRENS HOSPITAL OF MICHIGAN 4TH FL, DETROIT, MI 48201
(313) 745-5082
(313) 993-0894
Mailing address
4201 SAINT ANTOINE ST, UHC 5D MAILBOX 226 UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
4301044429
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301414410
—
MI
01
—
700H262280
BLUE CROSS-BLUE CROSS
—
01
—
RH044429
CHAMPUS-CHAMPUS
—
Enumeration date
06/02/2006
Last updated
06/24/2021
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