Most Relevant Information
Provider Data
| NPI Number: | 1003639717 |
| Provider Name: | MICHAEL RUSSELL KUCH |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/02/2024 |
| Last Updated: | 11/02/2024 |
Provider Practice Location
195 HURON BLVD
MARYSVILLE
MI
480401421
Practice Location Phone/Fax
| Phone: | 9894012244 |
| Fax: |
Provider Mailing Location
5039 VILLA LINDE PKWY STE 30
FLINT
MI
485323450
Provider Mailing Phone/Fax
| Phone: | 9894012244 |
| Fax: |