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

Michael Dedvukaj, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629810684

Michael Dedvukaj, MD is a Student in an Organized Health Care Education/Training Program in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1216 Richardson St
Port Huron, MI 48060-3549
Phone: (810) 985-2640
Fax: (810) 962-8294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 5315249016 (MI)

Record details

NPI number1629810684
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address1216 Richardson St, Port Huron, MI 48060-3549

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