# MCLAREN MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104294354
- **Authorized official:** WILLIAM HARDIMON (CEO)
- **Authorized official phone:** (810) 342-1040

## Contact information

- **Practice address:** 611 COURT ST, WEST BRANCH, MI 48661-8820
- **Practice address phone:** (989) 345-7000
- **Practice address fax:** (989) 345-7479
- **Mailing address:** 401 S BALLENGER HWY, FLINT, MI 48532-3638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2015
- **Last updated:** 05/26/2017