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Huron Gastroenterology Associates PC

Internal Medicine, Gastroenterology in Howell, MI. Organization (NPI-2).

NPI number1265635593
StatusActive
Last updated in NPPESAug 25, 2015

Details

NPI
1265635593
Entity type
Organization (NPI-2)
Legal business name
Huron Gastroenterology Associates PC
Organization subpart
No
Enumeration date
Jun 6, 2007
Last updated
Aug 25, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology––Yes

Other names

  • Huron Gastro (Other Name)

Practice location

620 Byron Rd
Howell, MI 48843-1002

Phone 734-434-6262 · Fax 734-712-2820

Mailing address

5300 Elliott Dr
Ypsilanti, MI 48197-8632

Phone 734-434-6262 · Fax 734-712-2820

Authorized official

Lana Cooper
Administrator
7345281405

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