Port Huron Internal Medicine

Specialty details in registry · Port Huron, MI

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At a glance

2540 16Th St, Port Huron, MI 48060-6405

NPPES record updated Oct 11, 2016. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

2540 16Th St
Port Huron, MI 48060-6405
Professional details: NPI, taxonomy & registry record
NPI1437609781
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
364SF0001X
Enumeration date
Oct 11, 2016
Record updated
Oct 11, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

364SF0001X · Primary

License reported: 4704272224 MI

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2540 16Th St
Port Huron, MI 48060-6405
Phone
(586) 634-0055
Mailing address
2540 16TH ST

PORT HURON, MI 480606405
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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