Individual
KYLE RICHARD HUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 987-5000
Mailing address
3703 BRICKER RD, KENOCKEE, MI 48006-4002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704329476
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704329476
MI
Other
Enumeration date
08/01/2023
Last updated
09/06/2023
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