MEDICARE: WYNNETH HUANG PA-C

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
1	363A00000X	Physician Assistant	5601013274	MI

General Provider Information

NPI Number	:	1568131001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WYNNETH HUANG PA-C

Provider Business Mailing Address
First Line	:	G3235 BEECHER RD
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-3617
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1231 PINE GROVE AVE STE 1A
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-3500
Country	:	US
Telephone Number	:	810-985-4300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2021
Last Update Date	:	02/19/2026

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Directions to “ WYNNETH HUANG PA-C” Practice Location

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