Port Huron Physicians Medical Group PC

NPI #1902281736 in Fort Gratiot, Michigan

Provider Information

NPI Number: 1902281736
Entity Type: Organization
Organization Name: Port Huron Physicians Medical Group PC
Primary Specialty: General Practice
Enumeration Date: Jul 22, 2015
Last Updated: Jul 22, 2015

Practice Location

Address: 4190 24TH AVE
Address 2: STE 206
City: Fort Gratiot
State: Michigan
ZIP Code: 48059-3882
Phone: (810) 989-7700

Authorized Official

Name: REBEKAH SMITH
Title: CEO
Phone: (810) 985-1510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X
General Practice	208D00000X	Primary

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