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Organization
WILLOW ENTERPRISES
Active
Organization
WILLOW ENTERPRISES
Active
Other names
Port Huron Hospital Industrial Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GALE S. NORTHCROSS MD (MEDICAL DIRECTOR)
(810) 982-8016
Entity
Organization
Contact information
Practice address
1644 STONE ST, PORT HURON, MI 48060-3344
(810) 982-8016
(810) 982-3590
Mailing address
1644 STONE ST, PORT HURON, MI 48060-3344
(810) 982-8016
(810) 982-3590
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
4301049406
MI
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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