Organization
PORT HURON CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORTIMER LEVIN DO (DIRECTOR)
(248) 569-5100
Entity
Organization
Contact information
Practice address
1107 STONE ST, STE #1, PORT HURON, MI 48060-3569
(810) 982-8300
(810) 982-8308
Mailing address
PO BOX 198, SOUTHFIELD, MI 48037-0198
(248) 569-5100
(248) 569-4774
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
003615
MI
Other
Enumeration date
06/10/2006
Last updated
08/14/2008
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