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Organization
MCLAREN MEDICAL GROUP
Active
Organization
MCLAREN MEDICAL GROUP
Active
Other names
McLaren Medical Management, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HARDIMON (CEO)
(810) 342-1040
Entity
Organization
Contact information
Practice address
1198 N BELSAY RD, BUILDING 3, BURTON, MI 48509-1669
(810) 743-5100
(810) 715-1807
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
NULL
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
420B512750
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/05/2007
Last updated
02/12/2016
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