Organization
MCLAREN OAKLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MARCOTTE (VP/CFO)
(248) 338-5691
Entity
Organization
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5000
(248) 338-5564
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5000
(248) 338-5564
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
630120
MI
207P00000X
Emergency Medicine Physician
630120
MI
207Q00000X
Family Medicine Physician
Primary
630120
MI
207R00000X
Internal Medicine Physician
630120
MI
207RC0000X
Cardiovascular Disease Physician
630120
MI
207RH0003X
Hematology & Oncology Physician
—
—
208000000X
Pediatrics Physician
630120
MI
2085R0202X
Diagnostic Radiology Physician
630120
MI
208D00000X
General Practice Physician
630120
MI
213E00000X
Podiatrist
630120
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700F373630
BCBSM PROG GRP PODIATRY
MI
01
—
700F376860
BCBSM PROF GRP MD DO
MI
Enumeration date
01/16/2007
Last updated
05/01/2020
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