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PHYSICIAN HEALTHCARE NETWORK, PC
NPI 1093921074
Clinic/Center - Urgent Care in Marysville, MI

Active since May 15, 2007CLIA 23D0668849 · Waiver
3350 GRATIOT BLVD, MARYSVILLE, MI 48040(810) 364-4000(810) 364-5995 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2022, Jul 21, 2022, Dec 29, 2021 and 1 more (4 updates tracked since 2020).

About Physician Healthcare Network, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIAN HEALTHCARE NETWORK, PC (NPI 1093921074) is a healthcare organization registered as an urgent care in Marysville, Michigan and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Mimma Cusumano, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1093921074
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePHYSICIAN HEALTHCARE NETWORK, PC
Location Address3350 GRATIOT BLVDMarysville, MI 48040-2121
Mailing Address3050 Commerce DrFort Gratiot, MI 48059-3819 · (810) 385-4441 · Fax (810) 385-1950
Phone(810) 364-4000
Fax(810) 364-5995
Organization SubpartNo
Authorized OfficialMimma CusumanoDirector Of Finance · (810) 385-8081
Enumeration DateMay 15, 2007
Last NPPES UpdateFebruary 25, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1093921074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
3350 GRATIOT BLVD, Marysville, MI 48040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0668849

Physician Healthcare Network, P C · Marysville, MI
Active · expires Oct 2, 2027
CLIA Number23D0668849
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorJohn D. Colombo
Laboratory Phone(810) 364-4000
Laboratory LocationPhysician Healthcare Network, P C3350 Gratiot Blvd, Marysville, MI 48040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA PAMUKOV D.O.
Family Medicine
3350 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-4000
IGOR NEDIC M.D.
Family Medicine
3350 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-4000
JOHN EDWARD BRADY ATC, PES
Specialist/Technologist (Athletic Trainer)
3350 GRATIOT BLVD, SUITE E
MARYSVILLE, MI 48040
St. Clair County (810) 364-1230
PAUL A BRUER M.D.
Internal Medicine
3350 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-4000
TODD P STACHOWIAK PA-C
Physician Assistant
3350 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-4000
JESSICA ANN ONUFRAK ANP-BC
Nurse Practitioner (Adult Health)
3350 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-4000
MRS. CATHERINE RAE VANCE AGPCNP-C
Nurse Practitioner (Gerontology)
3350 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-4000
DR. JOHN DOMENICO COLOMBO MD
Family Medicine
3350 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physician Healthcare Network, PC's NPI number?

The NPI number for Physician Healthcare Network, PC is 1093921074. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Physician Healthcare Network, PC located?

Physician Healthcare Network, PC is located at 3350 Gratiot Blvd, Marysville, MI 48040. The listed phone number is (810) 364-4000.

What is Physician Healthcare Network, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Physician Healthcare Network, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0668849) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Physician Healthcare Network, PC accept?

Health plans from Blue Care Network of Michigan list Physician Healthcare Network, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Physician Healthcare Network, PC was last updated on February 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.