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Contact Information

MCLAREN MACOMB
36500 S GRATIOT AVE
SUITE 102
CILNTON TOWNSHIP, MI48035
 Phone: 586-790-9003
 Fax: 586-493-3603
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MCLAREN MACOMB · (Female)

NPI Number 1467572123
Status Active
Credentials
Entity Individual
Enumeration date 03/29/2007
Last updated 05/23/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI Other 200E064300 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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