Individual
MRS. THERESA MARY HUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2070 BIDDLE AVE, WYANDOTTE, MI 48192-4080
(734) 671-6741
(734) 671-1038
Mailing address
23050 WEST RD STE 130, BROWNSTOWN TWP, MI 48183-1473
(734) 391-3057
(734) 391-3052
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704272418
MI
Other
Enumeration date
02/15/2017
Last updated
03/15/2021
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