Organization
HURON MEMORIAL HOSPITAL
Active
Parent organization
HURON MEMORIAL HOSPITAL
Other names
McLaren Thumb Region - Port Austin Campus
Organization subpart
Yes
Provider details
NPI number
Legal business name
HURON MEMORIAL HOSPITAL
Authorized official
MICHAEL ERIC JOHNSTON (PRESIDENT & CEO)
(989) 803-7127
Entity
Organization
Contact information
Practice address
1100 S VAN DYKE RD, BAD AXE, MI 48413-9615
(989) 269-9521
(989) 269-5260
Mailing address
1100 S VAN DYKE RD, BAD AXE, MI 48413-9615
(989) 269-9521
(989) 269-5260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RL040876
MI
363AM0700X
Medical Physician Assistant
RD002414
MI
Other
Enumeration date
12/05/2006
Last updated
03/28/2019
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