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General NPI Number Information
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NPI Number | 1184055394
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Entity Type | Organization
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Legal Business Name | ST. CLAIR OBSTETRICS & GYNECOLOGY, PLLC
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Dates
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Enumeration Date | 12/13/2013
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 2603 ELECTRIC AVE STE 2
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City | PORT HURON
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State | MI
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Zip | 48060-6588
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Country | US
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Telephone | 810-329-3333
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Fax | 810-329-1199
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Provider Business Mailing Address
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Address Line | 2603 ELECTRIC AVE STE 2
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City | PORT HURON
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State | MI
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Zip | 48060-6588
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Country | US
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Telephone | 810-329-3333
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Fax | 810-329-1199
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TERESA POWSER
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Credential |
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Telephone | 810-329-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 5101015538
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License Number State | MI
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