PORT HURON INTERNAL MEDICINE; NPI #1437609781

Contact Information

PORT HURON INTERNAL MEDICINE

2540 16TH ST
PORT HURON, MI 48060-6405

Phone: 586-634-0055
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family Health	364SF0001X	89	Certified Clinical Nurse Specialist

Indicates primary specialty

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NPI Profile & details for PORT HURON INTERNAL MEDICINE

NPI Number 1437609781

LBN Legal business name PORT HURON INTERNAL MEDICINE

Authorized official JOHN JARAD - (INTERNAL MEDICINE PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/11/2016

Last updated 10/11/2016 - About 10 years ago

Identifiers

License #

4704272224

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PORT HURON INTERNAL MEDICINE

Contact Information

Specialty

Family Health

NPI Profile & details for PORT HURON INTERNAL MEDICINE

Reviews for PORT HURON INTERNAL MEDICINE