Search › Michigan › 207Q00000X
Permporn Vanasupa, MD
NPI 1679507511 · on the registry since 2006
Practice
- Address
- 1225 10th St
Huron Family Practice Center
Port Huron, MI 48060 - Phone
- (810) 987-6200
- Fax
- (810) 987-8717
- Organisation at this address
- Huron Family Practice Center Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan