Organization
MCLAREN GREATER LANSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE THOMPSON (CFO)
(517) 975-7555
Entity
Organization
Contact information
Practice address
840 E MOUNT HOPE AVE, SUITE 203, LANSING, MI 48910
(517) 487-2273
(517) 487-2268
Mailing address
840 E MOUNT HOPE AVE, SUITE 203, LANSING, MI 48910-3293
(517) 487-2273
(517) 487-2268
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330C313780
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/06/2007
Last updated
08/02/2018
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