McLaren Primary Care
Family Medicine in Mio, MI. Organization (NPI-2).
NPI number1871522011
StatusActive
Last updated in NPPESMay 22, 2019
Details
- NPI
- 1871522011
- Entity type
- Organization (NPI-2)
- Legal business name
- McLaren Primary Care
- Organization subpart
- No
- Enumeration date
- Jul 1, 2006
- Last updated
- May 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
558 Lockwood LnMio, MI 48647-9387
Phone 989-826-3271 · Fax 989-826-6749
Mailing address
1900 Columbus AveAttn: McLaren Bay Region Ceo
Bay City, MI 48708-6831
Authorized official
Danielle C Jacks Porter
Vp/Cfo
9898943838
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