Organization
HURON MEMORIAL HOSPITAL EMPLOYED PHYSICIANS
Active
Parent organization
HURON MEMORIAL HOSPITAL
Other names
McLaren Thumb Region - Employed Physicians, Huron Medical Center Employed Physicians
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
Mailing address
1100 S VAN DYKE RD, BAD AXE, MI 48413-9615
(989) 269-9521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DG076330
MI
207Q00000X
Family Medicine Physician
RL040876
MI
207R00000X
Internal Medicine Physician
GG072192
MI
207R00000X
Internal Medicine Physician
TM078893
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MM077123
MI
2084N0400X
Neurology Physician
JK014129
MI
208600000X
Surgery Physician
SN084671
MI
208800000X
Urology Physician
DB039784
MI
Other
Enumeration date
10/04/2006
Last updated
03/28/2019
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