Port Huron Mercy Family Care INC
NPI #1437163409 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1437163409
- Entity Type
- Organization
- Organization Name
- Port Huron Mercy Family Care INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 27, 2006
- Last Updated
- Jul 8, 2015
Practice Location
- Address
- 4190 24TH AVE
- Address 2
- SUITE 206
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-3882
- Phone
- (810) 216-4000
Authorized Official
- Name
- NANCY MASON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (810) 985-1884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Pediatrics |
| Family Medicine |
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