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Organization
MCLAREN MEDICAL GROUP
Active
Organization
MCLAREN MEDICAL GROUP
Active
Other names
McLaren Medical Management CNM Bay City
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HARDIMON (PRESIDENT AND CEO)
(810) 342-1064
Entity
Organization
Contact information
Practice address
3175 PROFESSIONAL CT, BAY CITY, MI 48706-2823
(989) 667-6325
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
—
4208758570
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/13/2007
Last updated
05/26/2017
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