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

Port Huron Physicians Medical Group PC

Organization Family Medicine Physician · NPI 1598141640

Port Huron Physicians Medical Group PC provides Family Medicine Physician services in Fort Gratiot, Michigan. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
6
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

4190 24th Ave Ste 206
Fort Gratiot, MI 48059-3882
Phone: (810) 216-4000
Fax: (810) 216-4001
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Obstetrics Physician Taxonomy 207VX0000X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1598141640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Brown-McCoy — Cbo Manager · (810) 216-2902
Other names Lake Huron Medical Group; Lake Huron Medical Group
NPI enumeratedJuly 30, 2015
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021
Mailing addressPo Box 638928, Cincinnati, OH 45263-0669

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