Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 5901001668 | MI |
NPI | 1043210206 |
---|---|
Provider Name | Scott E Hughes |
First Address | Monroe, MI 48162-3113 |
Second Address | Monroe, MI 48162 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 19/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U35119 | (02) | MI |