| NPI | 1386888170 |
|---|---|
| Doing Business As | PORT HURON HOSPITAL PHYSICIAN GRP |
| Entity Type | Organization |
| Authorized Contact | BRIDGET SHOLTIS VP/CFO 810-989-3749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI JM013191) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI MN084311) |
| 1041C0700X Social Worker, Clinical (Licence: MI AG643729) | |
| 207R00000X Internal Medicine (Licence: MI MS040821) | |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2020-07-30 |