Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Port Huron Neurologic Associates PC

Organization Neurology Physician · NPI 1699946459

Port Huron Neurologic Associates PC provides Neurology Physician services in Fort Gratiot, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3825 24th Ave
Fort Gratiot, MI 48059-4100
Phone: (810) 982-0100
Fax: (810) 982-0365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 5101011111 (MI)

Record details

NPI number1699946459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Kovar — President · (810) 982-0100
NPI enumeratedMarch 19, 2008
Last updated in NPPESOctober 29, 2019
Mailing address3825 24th Ave, Fort Gratiot, MI 48059-4100

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