Healthcare Provider Details

I. General information

NPI: 1124368048
Provider Name (Legal Business Name): EMILY E HULSCHER R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2013
Last Update Date: 03/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1726 HOWARD ST
DETROIT MI
48216-1921
US

IV. Provider business mailing address

1726 HOWARD ST
DETROIT MI
48216-1921
US

V. Phone/Fax

Practice location:
  • Phone: 313-832-3300
  • Fax: 313-832-3393
Mailing address:
  • Phone: 313-832-3300
  • Fax: 313-832-3393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1058171
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: