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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

NPI # 1467572123
LBN Legal business name MCLAREN MACOMB
Authorized official THOMAS BRISSE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2007
Last updated 05/23/2018 - About 8 years ago
Identifiers
MI Other 200E064300 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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