Healthcare Provider Details

I. General information

NPI: 1710072483
Provider Name (Legal Business Name): JESSICA L HUHN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JESSICA L WILLLIAMS M.D.

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 03/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 GENOA BUSINESS PARK DR STE 240
BRIGHTON MI
48114-7004
US

IV. Provider business mailing address

24 FRANK LLOYD WRIGHT DR J2000
ANN ARBOR MI
48105-9484
US

V. Phone/Fax

Practice location:
  • Phone: 810-494-6820
  • Fax: 810-229-0747
Mailing address:
  • Phone: 734-747-6766
  • Fax: 734-222-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301089637
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: