| Port Huron Hospital Physician Grp | |
|
1209 Richardson St Port Huron MI 48060-3548 | |
| (810) 984-5156 | |
| Not Available |
| Full Name | Port Huron Hospital Physician Grp |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1209 Richardson St, Port Huron, Michigan |
| Authorized Official Name and Position | Bridget Sholtis (VP/CFO) |
| Authorized Official Contact | 8109893749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Huron Hospital Physician Grp 1221 Pine Grove Ave Port Huron MI 48060-3511 Ph: (810) 984-5156 | Port Huron Hospital Physician Grp 1209 Richardson St Port Huron MI 48060-3548 Ph: (810) 984-5156 |
| NPI Number | 1467788018 |
|---|---|
| Provider Enumeration Date | 11/02/2009 |
| Last Update Date | 07/30/2020 |
| Certification Date | 07/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467788018 | NPI | - | NPPES |
| 7509106270 | Other | MI | BCBS |
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