Organization
MCLAREN MEDICAL GROUP
Active
Parent organization
MCLAREN MEDICAL MANAGEMENT, INC.
Other names
McLaren Medical Managment, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLAREN MEDICAL MANAGEMENT, INC.
Authorized official
MR. WILLIAM HARDIMON (CEO)
(810) 342-1040
Entity
Organization
Contact information
Practice address
1254 N MAIN ST, LAPEER, MI 48446-1343
(810) 664-4531
(810) 667-7337
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310B510720
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/31/2007
Last updated
02/12/2016
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