Healthcare Provider Details

I. General information

NPI: 1316913437
Provider Name (Legal Business Name): CHRISTOPHER A HUNT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 PINE GROVE AVE MCLAREN PORT HURON - EMERGENCY MEDICINE DEPARTMENT
PORT HURON MI
48060-3511
US

IV. Provider business mailing address

1221 PINE GROVE AVE MCLAREN PORT HURON - EMERGENCY MEDICINE DEPARTMENT
PORT HURON MI
48060-3511
US

V. Phone/Fax

Practice location:
  • Phone: 810-989-3300
  • Fax: 810-985-2671
Mailing address:
  • Phone: 810-989-3300
  • Fax: 810-985-2671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4301070231
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: