Organization
MCLAREN PORT HURON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET SHOLTIS (VP/CFO)
(810) 989-3749
Entity
Organization
Contact information
Practice address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 987-5000
Mailing address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
07/30/2020
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