# MCLAREN THUMB REGION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McLaren Thumb Region Primary Care - Ubly
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467510206
- **Authorized official:** KENNETH BARANSKI (CFO)
- **Authorized official phone:** (989) 269-1510

## Contact information

- **Practice address:** 2269 E MAIN ST, UBLY, MI 48475-9573
- **Practice address phone:** (989) 658-2159
- **Practice address fax:** (989) 658-2192
- **Mailing address:** 1100 S VAN DYKE RD, BAD AXE, MI 48413-9615
- **Mailing address phone:** (989) 269-9521
- **Mailing address fax:** (989) 269-5260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | RL040876 | MI | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363AM0700X | Medical Physician Assistant | RD002414 | MI | — |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 11/14/2024