Organization
ENDOCRINOLOGY AND DIABETES CENTER OF PORT HURON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSHMA REDDY MD (GENERAL PARTNER)
(810) 989-7478
Entity
Organization
Contact information
Practice address
4190 24TH AVE, SUITE: 201, FORT GRATIOT, MI 48059-3882
(810) 989-7478
(810) 989-7644
Mailing address
4190 24TH AVE, SUITE: 201, FORT GRATIOT, MI 48059-3882
(810) 989-7478
(810) 989-7644
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
11/16/2005
Last updated
11/10/2009
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