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 is a Family Medicine Physician 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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Pin is approximate — placed at the ZIP-code centre, not the exact door.

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

Other providers in Fort Gratiot