| Port Huron Physicians Medical Group Pc | |
| 
					4190 24th Ave Ste 206 Fort Gratiot MI 48059-3882  | |
| (810) 989-7700 | |
| Not Available | 
| Full Name | Port Huron Physicians Medical Group Pc | 
|---|---|
| Speciality | General Practice | 
| Location | 4190 24th Ave, Fort Gratiot, Michigan | 
| Authorized Official Name and Position | Rebekah Smith (CEO) | 
| Authorized Official Contact | 8109851510 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Port Huron Physicians Medical Group Pc 4190 24th Ave Ste 206 Fort Gratiot MI 48059-3882 Ph: (810) 989-7700  | Port Huron Physicians Medical Group Pc 4190 24th Ave Ste 206 Fort Gratiot MI 48059-3882 Ph: (810) 989-7700  | 
| NPI Number | 1902281736 | 
|---|---|
| Provider Enumeration Date | 07/22/2015 | 
| Last Update Date | 07/22/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902281736 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary | 
| 208D00000X | General Practice | (* (Not Available)) | Primary | 
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