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Organization
ENDOCRINOLOGY AND DIABETES CENTER OF PORT HURON PLLC
Active
Organization
ENDOCRINOLOGY AND DIABETES CENTER OF PORT HURON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSHMA REDDY MD (GENERAL PARTNER)
(810) 989-7478
Entity
Organization
Contact information
Practice address
4190 24TH AVE, SUITE: 201, FORT GRATIOT, MI 48059-3882
(810) 989-7478
(810) 989-7644
Mailing address
4190 24TH AVE, SUITE: 201, FORT GRATIOT, MI 48059-3882
(810) 989-7478
(810) 989-7644
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
11/16/2005
Last updated
11/10/2009
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