| NPI | 1467788018 |
|---|---|
| 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 | 1041C0700X Social Worker, Clinical (Licence: MI AG643729) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI EB086434) |
| 1041C0700X Social Worker, Clinical (Licence: MI LK034456) | |
| 1041C0700X Social Worker, Clinical (Licence: MI RM088438) | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2020-07-30 |