Provider Demographics
NPI:1689776320
Name:HUKILL, BILL E (DO)
Entity Type:Individual
Prefix:DR
First Name:BILL
Middle Name:E
Last Name:HUKILL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8477 DAVISON RD
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-2114
Mailing Address - Country:US
Mailing Address - Phone:810-653-5933
Mailing Address - Fax:810-653-5927
Practice Address - Street 1:8477 DAVISON RD
Practice Address - Street 2:
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-2114
Practice Address - Country:US
Practice Address - Phone:810-653-5933
Practice Address - Fax:810-653-5927
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101012833207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4107696Medicaid
MIG87829Medicare UPIN
MI4107696Medicaid