Healthcare Provider Details
I. General information
NPI: 1063514701
Provider Name (Legal Business Name): CYNTHIA R HORNING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/02/2006
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4520 LINDEN CREEK PKWY STE F
FLINT MI
48507-2969
US
IV. Provider business mailing address
105 S CHERRY ST
FLUSHING MI
48433-2018
US
V. Phone/Fax
- Phone: 810-244-1168
- Fax: 810-244-1172
- Phone: 810-250-4360
- Fax: 810-964-8842
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 4301081219 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: