Port Huron Clinic P.c.

NPI 1093756934 - Legal Medicine - 173000000X

NPI Details
NPI 1093756934
Enumeration Date 06/10/2006
Last Updated 08/14/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MORTIMER MORTIMER
Position DIRECTOR
Phone (810) 982-8300
Fax (810) 982-8308
Practice Location
1107 STONE ST
STE #1
PORT HURON MI, 48060-3569, US
Phone (810) 982-8300
Fax (810) 982-8308
Business Location
PO BOX 198
SOUTHFIELD MI, 48037-0198, US
Phone (248) 569-5100
Fax (248) 569-4774
Toxanomy
Taxonomy Code 173000000X
License State Michigan
License Number 003615
Remove 1093756934 NPI Number
 

According to our database, Port Huron Clinic P.c. NPI is 1093756934, taxonomy code is 173000000X and license number is 003615, license state is located at Michigan. Port Huron Clinic P.c. physically located at 1107 Stone St, Port Huron MI, 48060-3569. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1093756934 NPI number is provided on an as is basis without warranty of any kind. 1093756934 is maintained by the National Plan & Provider Enumeration System. The contents of Port Huron Clinic P.c. are for informational purposes only.