Individual
MICHAEL O HUSMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5098 W BRISTOL RD, FLINT, MI 48507-2919
(810) 733-1261
(810) 733-1274
Mailing address
1393 CEDAR DR, BIRMINGHAM, MI 48009-1779
(248) 224-1577
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
MH008745
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0999791
HEALTH PLUS
MI
01
—
4308993
CIGNA
MI
01
—
950B51223-0
BLUE CROSS OF MICHIGAN
MI
Enumeration date
07/06/2006
Last updated
11/27/2019
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