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Contact Information

PORT HURON INTERNAL MEDICINE
2540 16TH ST
PORT HURON, MI48060-6405
 Phone: 586-634-0055
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for PORT HURON INTERNAL MEDICINE · (Female)

NPI Number 1437609781
Status Active
Credentials
Entity Individual
Enumeration date 10/11/2016
Last updated 10/11/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4704272224
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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