Organization · Type 2 NPI
Willow Enterprises
Occupational Medicine Clinic/Center · Port Huron, MI
NPI number
1053434209
Active
Practice location
1644 Stone St
Port Huron, MI 48060-3344
Fax (810) 982-3590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Medicine Clinic/Center Primary | 261QX0100X | 4301049406 (MI) |
Occupational Medicine Clinic/Center: Definition to come...
About NPI 1053434209
Willow Enterprises's National Provider Identifier is 1053434209, issued on Apr 10, 2007. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Port Huron, MI. The record was last updated on Aug 22, 2020.