| Organization Name: | PHYSICIAN HEALTHCARE NETWORK, PC |
| NPI Number: | 1295941375 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENISE M KLIEMAN (FINANCIAL MANAGER) |
| Mailing Address: | 10127 Marine City Hwy Ira |
| State: | MI US |
| Postal Code: | 480231008 |
| Phone Number: | 5867161371 |
| Fax Number: | 5867164855 |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |