# UROLOGY ASSOC OF PORT HURON, P.C.

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

## Provider details

- **NPI number:** 1790705572
- **Authorized official:** DORIS J ADAIR (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (810) 984-4194

## Contact information

- **Practice address:** 1037 WATER ST, SUITE 1, PORT HURON, MI 48060-4408
- **Practice address phone:** (810) 984-4194
- **Practice address fax:** (810) 984-4674
- **Mailing address:** 1037 WATER ST, SUITE 1, PORT HURON, MI 48060-4408
- **Mailing address phone:** (810) 984-4194
- **Mailing address fax:** (810) 984-4674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | MI | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 01/20/2010