Provider Demographics
NPI:1326022781
Name:HUNT, CURTIS (MD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2888 E LONG LAKE RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3793
Mailing Address - Country:US
Mailing Address - Phone:248-680-8400
Mailing Address - Fax:248-680-9539
Practice Address - Street 1:2888 E LONG LAKE RD
Practice Address - Street 2:STE 110
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-3793
Practice Address - Country:US
Practice Address - Phone:248-680-8400
Practice Address - Fax:248-680-9539
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301049258207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3435692Medicaid
MI0P02370Medicare UPIN
MIP02370001Medicare PIN