Provider Demographics
NPI:1528045564
Name:HUG, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:HUG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:27555 FARMINGTON RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3376
Mailing Address - Country:US
Mailing Address - Phone:248-477-5608
Mailing Address - Fax:248-427-0010
Practice Address - Street 1:27555 FARMINGTON RD
Practice Address - Street 2:SUITE 120
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3376
Practice Address - Country:US
Practice Address - Phone:248-477-5608
Practice Address - Fax:248-427-0010
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301056198207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI307621810Medicaid
F93999Medicare UPIN
MIM11340002Medicare PIN
MIGC8853Medicare PIN