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NPI Code Detail

MEDICARE: COLTEN MICHAEL HUFFMAN

MEDICARE:   COLTEN MICHAEL HUFFMAN
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
13747A0650XAttendant Care Provider
2376J00000XHomemaker

General Provider Information

NPI Number : 1558045302
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLTEN MICHAEL HUFFMAN
Provider Business Mailing Address
First Line : 222 HOMEWOOD AVE
Second Line :
City : AKRON
State : OH
Zip : 44312-1217
Country : US
Telephone Number : 330-217-9011
Fax Number :
Provider Business Practice Location Address
First Line : 3148 GRILL RD
Second Line :
City : NEW FRANKLIN
State : OH
Zip : 44216-9381
Country : US
Telephone Number : 330-701-7765
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2023
Last Update Date : 06/12/2023

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Directions to “ COLTEN MICHAEL HUFFMAN ” Practice Location

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