Organization
MCLAREN BAY REGION
Active
Organization
MCLAREN BAY REGION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE C JACKS PORTER (CFO)
(989) 894-3838
Entity
Organization
Contact information
Practice address
640 S TRUMBULL ST, BAY CITY, MI 48708
(989) 893-7460
Mailing address
640 S TRUMBULL ST, BAY CITY, MI 48708-7656
(989) 893-7460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
08/08/2018
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