Provider Demographics
NPI:1124057906
Name:NEVIN, REMINGTON LEE (MD, MPH, DRPH)
Entity type:Individual
Prefix:DR
First Name:REMINGTON
Middle Name:LEE
Last Name:NEVIN
Suffix:
Gender:M
Credentials:MD, MPH, DRPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:C/O EDA OF ST CLAIR COUNTY
Mailing Address - Street 2:100 MCMORRAN BLVD FL 5
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-4021
Mailing Address - Country:US
Mailing Address - Phone:810-276-1657
Mailing Address - Fax:
Practice Address - Street 1:C/O EDA OF ST CLAIR COUNTY
Practice Address - Street 2:100 MCMORRAN BLVD FL 5
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060
Practice Address - Country:US
Practice Address - Phone:810-276-1657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43015098782083X0100X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine