Organization
MCLAREN MACOMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS M BRISSE (CEO)
(586) 493-8083
Entity
Organization
Contact information
Practice address
32743 23 MILE RD, CHESTERFIELD, MI 48047
(586) 725-9600
(586) 725-7170
Mailing address
32743 23 MILE RD, CHESTERFIELD, MI 48047-1985
(586) 725-9600
(586) 725-7170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3493533
—
MI
05
—
4248827
—
MI
05
—
4283020
—
MI
05
—
4344028
—
MI
05
—
4414033
—
MI
05
—
4463904
—
MI
05
—
4849193
—
MI
05
—
4853249
—
MI
Enumeration date
05/16/2006
Last updated
05/23/2018
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