Port Huron Physicians Medical Group PC
NPI #1598141640 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1598141640
- Entity Type
- Organization
- Organization Name
- Port Huron Physicians Medical Group PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 30, 2015
- Last Updated
- Mar 16, 2021
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
- JULIE ANN BROWN-MCCOY
- Title
- CBO MANAGER
- Phone
- (810) 216-2902
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism |
| Obstetrics & Gynecology - Obstetrics — Obstetrics |
| Pediatrics |
| Surgery |
| Family Medicine |
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