Individual provider · Type 1 NPI

Permporn Vanasupa, MD

Family Medicine Physician · Port Huron, MI

NPI number 1679507511 Active

Practice location

1225 10th St, Huron Family Practice Center
Port Huron, MI 48060

Call (810) 987-6200 Map

Fax (810) 987-8717

Mailing address

5041 Longview Dr
Troy, MI 48098

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X40301032135 (MI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1679507511

Permporn Vanasupa, MD's National Provider Identifier is 1679507511, issued on Jul 10, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Port Huron, MI. The record was last updated on Jul 8, 2007.