Organization
MCLAREN MEDICAL GROUP
Active
Other names
McLaren Medical Management, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HARDIMON (CEO)
(810) 342-1040
Entity
Organization
Contact information
Practice address
1198 N BELSAY RD, BUILDING 3, BURTON, MI 48509-1669
(810) 743-5100
(810) 715-1807
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
420B512750
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/05/2007
Last updated
02/12/2016
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