Organization
ST CLAIR COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON B PARSON M.P.H. (DIRECTOR, HEALTH OFFICER)
(810) 987-9396
Entity
Organization
Contact information
Practice address
3415 28TH ST, PORT HURON, MI 48060-6931
(810) 987-9396
(810) 985-2150
Mailing address
3415 28TH ST, PORT HURON, MI 48060-6931
(810) 987-9396
(810) 985-2150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TP173662
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053408948
—
MI
01
—
700G460240
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
02/25/2009
Last updated
02/25/2009
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