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NPI Code Detail

MEDICARE: DR. JOHN HUBBELL HUNTINGTON MD

MEDICARE: DR. JOHN HUBBELL HUNTINGTON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP3000XPediatric Anesthesiology Physician4301056233MI
2207LP3000XPediatric Anesthesiology PhysicianV8859TX
3207L00000XAnesthesiology Physician4301056233MI

General Provider Information

NPI Number : 1558340380
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN HUBBELL HUNTINGTON MD
Provider Business Mailing Address
First Line : 100 MICHIGAN ST NE
Second Line : MC 845
City : GRAND RAPIDS
State : MI
Zip : 49503-2560
Country : US
Telephone Number : 616-486-6790
Fax Number :
Provider Business Practice Location Address
First Line : 100 MICHIGAN ST NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-2560
Country : US
Telephone Number : 616-267-0250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 02/11/2026

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