# PHYSICIAN HEALTHCARE NETWORK, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295941375
- **Authorized official:** MIMMA CUSUMANO (DIRECTOR OF FINANCE)
- **Authorized official phone:** (810) 385-8081

## Contact information

- **Practice address:** 36267 26 MILE RD STE 3, LENOX, MI 48048-3253
- **Practice address phone:** (586) 716-1371
- **Practice address fax:** (586) 716-4855
- **Mailing address:** 3050 COMMERCE DR, FORT GRATIOT, MI 48059-3819
- **Mailing address phone:** (810) 385-4441
- **Mailing address fax:** (810) 385-1951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | MI | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 02/25/2026
