Healthcare Provider Details

I. General information

NPI: 1528686540
Provider Name (Legal Business Name): HURON EMERGENCY MEDICINE SPECIALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2020
Last Update Date: 06/30/2022
Certification Date: 06/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 PINE GROVE AVE
PORT HURON MI
48060-3511
US

IV. Provider business mailing address

PO BOX 595498
FORT GRATIOT MI
48059-5498
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 Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER HUNT
Title or Position: MD
Credential: MD
Phone: 810-989-3300