# MCLAREN FLINT

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

## Provider details

- **NPI number:** 1396884631
- **Authorized official:** FRED KORTE (CFO)
- **Authorized official phone:** (810) 342-2000

## Contact information

- **Practice address:** 401 S BALLENGER HWY, FLINT, MI 48532
- **Practice address phone:** (810) 342-2000
- **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 |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/09/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5008760660 | BLUE CROSS BLUE SHIELD | MI |