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PORT HURON PHYSICIANS MEDICAL GROUP PC NPI 1598141640


NPI Information

NPI: 1598141640
Provider Name: PORT HURON PHYSICIANS MEDICAL GROUP PC

Doing Business As: LAKE HURON MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4190 24TH AVE
SUITE 206
FORT GRATIOT, MI
ZIP 48059
Phone: (810) 216-4000
Get Directions

PORT HURON PHYSICIANS MEDICAL GROUP PC is a family medicine in Fort Gratiot, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PORT HURON PHYSICIANS MEDICAL GROUP PC NPI is 1598141640. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lake Huron Medical Group.

The provider's business location address is:

4190 24TH AVE
SUITE 206
FORT GRATIOT, MI
ZIP 48059-882
Phone: (810) 216-4000
Fax: (810) 216-4001

The provider's authorized official is Julie Ann Brown-mccoy .
The authorized official title is Cbo Manager and has the following contact phone number (810) 216-2902.

The enumeration date for this NPI number is 7/30/2015 and was last updated on 3/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
3207VX0000XObstetrics & GynecologyObstetricsNo
4208000000XPediatricsNo
5208600000XSurgeryNo
6207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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