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NPI Code Detail

MEDICARE: PORT HURON INTERNAL MEDICINE

MEDICARE: PORT HURON INTERNAL MEDICINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SF0001XFamily Health Clinical Nurse Specialist4704272224MI

General Provider Information

NPI Number : 1437609781
Entity Type Code : Organization
Provider Name (Legal Business Name) : PORT HURON INTERNAL MEDICINE
Provider Business Mailing Address
First Line : 2540 16TH ST
Second Line :
City : PORT HURON
State : MI
Zip : 48060-6405
Country : US
Telephone Number : 586-634-0055
Fax Number :
Provider Business Practice Location Address
First Line : 2540 16TH ST
Second Line :
City : PORT HURON
State : MI
Zip : 48060-6405
Country : US
Telephone Number : 586-634-0055
Fax Number :
Authorized Official
Title or Position : INTERNAL MEDICINE PHYSICIAN
Name : DR. JOHN JARAD
Credential : M.D.
Telephone Number : 810-987-1000
Provider Enumeration Date : 10/11/2016
Last Update Date : 10/11/2016

Similar Medicare Providers

1245235654 — JOHN IMAD JARAD M.D.
Practice Location Address:
2540 16TH ST
PORT HURON, MI
48060-6405
Practice Phone: 810-987-1000
Practice Fax: 810-982-1810
1164423216 — CHERYL A CANTO M.D.
Practice Location Address:
2540 16TH ST
PORT HURON, MI
48060-6405
Practice Phone: 810-987-1000
Practice Fax: 810-982-1810
1528252251 — PORT HURON INTERNAL MEDICINE ASSOCIATES
Practice Location Address:
2540 16TH ST
PORT HURON, MI
48060-6405
Practice Phone: 810-987-1000
Practice Fax: 810-982-1810
1326359993 — MS. ASHLEY MARIE RICHARDSON P.A.-C
Practice Location Address:
2540 16TH ST
PORT HURON, MI
48060-6405
Practice Phone: 810-987-1053
Practice Fax:
1154737609 — ANSHUM GOEL BHALLA M.D
Practice Location Address:
2540 16TH ST
PORT HURON, MI
48060-6405
Practice Phone: 810-987-1000
Practice Fax: 810-982-1810
1134761042 — KELLY THOMAS MSN, AGPCNP-C
Practice Location Address:
2540 16TH ST
PORT HURON, MI
48060-6405
Practice Phone: 810-987-1000
Practice Fax:

Directions to “PORT HURON INTERNAL MEDICINE ” Practice Location

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