Port Huron Neurologic Associates P.c.
NPI #1699946459 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1699946459
- Entity Type
- Organization
- Organization Name
- Port Huron Neurologic Associates P.c.
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Mar 19, 2008
- Last Updated
- Oct 29, 2019
Practice Location
- Address
- 3825 24TH AVE
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-4100
- Phone
- (810) 982-0100
Authorized Official
- Name
- DR. RICHARD RALPH KOVAR, D.O.
- Title
- PRESIDENT
- Phone
- (810) 982-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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