Individual
JUSTIN HUSBAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
82 WELLESLEY DR, PLEASANT RIDGE, MI 48069-1243
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704295605
MI
Other
Enumeration date
08/14/2017
Last updated
01/29/2021
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