| NPI | 1598141640 |
|---|---|
| Doing Business As | LAKE HURON MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JULIE ANN BROWN-MCCOY Cbo Manager 810-216-2902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2021-03-16 |