Provider Demographics
NPI:1265056410
Name:HUSEIN, HUSEIN YUSUF (DPM)
Entity type:Individual
Prefix:
First Name:HUSEIN
Middle Name:YUSUF
Last Name:HUSEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4318 WEDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1268
Mailing Address - Country:US
Mailing Address - Phone:330-631-5631
Mailing Address - Fax:
Practice Address - Street 1:119 BROAD ST
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-1851
Practice Address - Country:US
Practice Address - Phone:330-334-1534
Practice Address - Fax:440-255-9400
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.004099213ES0103X
MI5951001379213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery