Endocrinology and Diabetes Center of Port Huron Pllc

NPI #1669454559 in Fort Gratiot, Michigan

Provider Information

NPI Number
1669454559
Entity Type
Organization
Organization Name
Endocrinology and Diabetes Center of Port Huron Pllc
Primary Specialty
Internal Medicine - Endocrinology, Diabetes & Metabolism
Enumeration Date
Nov 16, 2005
Last Updated
Nov 10, 2009

Practice Location

Address
4190 24TH AVE
Address 2
SUITE: 201
ZIP Code
48059-3882
Phone
(810) 989-7478

Authorized Official

Name
SUSHMA REDDY, MD
Title
GENERAL PARTNER
Phone
(810) 989-7478

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Endocrinology, Diabetes & MetabolismEndocrinology, Diabetes & Metabolism

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