Most Relevant Information
Provider Data
| NPI Number: | 1003325598 |
| Provider Name: | SALWA WADUD CHOUDHURY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 5601008427 |
Most Important Dates
| Enumeration Date: | 09/27/2017 |
| Last Updated: | 08/16/2018 |
Provider Practice Location
1201 STONE ST
SUITE #3
PORT HURON
MI
48060
Practice Location Phone/Fax
| Phone: | 8109855000 |
| Fax: | 8109853700 |
Provider Mailing Location
1201 STONE ST
SUITE #3
PORT HURON
MI
48060
Provider Mailing Phone/Fax
| Phone: | 8109855000 |
| Fax: | 8109853700 |