Healthcare Provider Details

I. General information

NPI: 1558972794
Provider Name (Legal Business Name): HOPE SURGICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2020
Last Update Date: 12/11/2020
Certification Date: 12/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 RICHARDSON ST
PORT HURON MI
48060-3548
US

IV. Provider business mailing address

1221 RICHARDSON ST
PORT HURON MI
48060-3548
US

V. Phone/Fax

Practice location:
  • Phone: 810-662-0400
  • Fax: 810-824-3576
Mailing address:
  • Phone: 810-622-0400
  • Fax: 810-824-3576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN MCFARLANE
Title or Position: MD
Credential: MD
Phone: 810-662-0400