Provider Demographics
NPI:1841696374
Name:HUSSION, GARRETT (DC)
Entity type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:
Last Name:HUSSION
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1085 VINEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48216-1428
Mailing Address - Country:US
Mailing Address - Phone:074-069-6749
Mailing Address - Fax:
Practice Address - Street 1:1085 VINEWOOD ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48216-1428
Practice Address - Country:US
Practice Address - Phone:907-406-9674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-11
Last Update Date:2024-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK117110111N00000X
MI2301401559111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor