Healthcare Provider Details

I. General information

NPI: 1114765641
Provider Name (Legal Business Name): JULIA MARIE HUG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2024
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3462 STERNS RD
LAMBERTVILLE MI
48144-9576
US

IV. Provider business mailing address

3462 STERNS RD
LAMBERTVILLE MI
48144-9576
US

V. Phone/Fax

Practice location:
  • Phone: 734-854-2690
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03444480
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number5302416791
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: