| NPI | 1912525361 |
|---|---|
| Doing Business As | LAKE HURON MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SCOTT FULKS CFO 810-216-1361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |