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Organization

MCLAREN MEDICAL GROUP

Active
Parent organization
MCLAREN MEDICAL MANAGEMENT
Other names
McLaren Medical Management, Inc
Organization subpart
Yes

Provider details

NPI number
Legal business name
MCLAREN MEDICAL MANAGEMENT
Authorized official
MR. WILLIAM HARDIMON (CEO)
(810) 342-1040
Entity
Organization

Contact information

Practice address
2420 OWEN RD, FENTON, MI 48430-3417
(810) 496-2400
(810) 629-0918
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
700B511870
BLUE CARE NETWORK
MI
Enumeration date
08/17/2007
Last updated
04/04/2016
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