# MCLAREN MACOMB

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

## Provider details

- **NPI number:** 1215057609
- **Authorized official:** MR. THOMAS M BRISSE (CEO)
- **Authorized official phone:** (586) 493-8083

## Contact information

- **Practice address:** 36500 S GRATIOT AVE, SUITE 102, CLINTON TOWNSHIP, MI 48035
- **Practice address phone:** (586) 790-9003
- **Practice address fax:** (586) 493-3603
- **Mailing address:** 401 S BALLENGER HWY, FLINT, MI 48532-3638
- **Mailing address phone:** (810) 342-1000
- **Mailing address fax:** (810) 342-1590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 05/23/2018