MEDICARE: DR. M STEPHEN HUSS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician		IL

General Provider Information

NPI Number	:	1285638072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. M STEPHEN HUSS M.D.

Provider Business Mailing Address
First Line	:	304 W HAY ST
Second Line	:	STE 213
City	:	DECATUR
State	:	IL
Zip	:	62526-4169
Country	:	US
Telephone Number	:	217-875-1518
Fax Number	:	217-875-9309

Provider Business Practice Location Address
First Line	:	304 W HAY ST
Second Line	:	STE 213
City	:	DECATUR
State	:	IL
Zip	:	62526-4169
Country	:	US
Telephone Number	:	217-875-1518
Fax Number	:	217-875-9309

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/08/2007

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