Healthcare Provider Details

I. General information

NPI: 1841406246
Provider Name (Legal Business Name): MICHAEL ELWIN HUNT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W GREENLAWN AVE
LANSING MI
48910-2819
US

IV. Provider business mailing address

7815 W BEARD RD
PERRY MI
48872-9143
US

V. Phone/Fax

Practice location:
  • Phone: 517-334-2455
  • Fax: 517-346-4714
Mailing address:
  • Phone: 517-675-2050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number4301064510
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301064510
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: