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
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/14/2008
Last updated
07/30/2020
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