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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