Organization
HURON MEDICAL CNETER
Active
Other names
McLaren Thumb Region
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ERIC JOHNSTON (PRESIDENT & CEO)
(989) 803-7127
Entity
Organization
Contact information
Practice address
1080 S VAN DYKE RD, BAD AXE, MI 48413-9635
(989) 269-7775
(989) 269-7677
Mailing address
1080 S VAN DYKE RD, BAD AXE, MI 48413-9635
(989) 269-7775
(989) 269-7677
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101015749
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151899401
NPI
MI
Enumeration date
12/10/2013
Last updated
03/28/2019
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