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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
3220 DISCOVERY DR STE 200, LANSING, MI 48910-8609
(517) 975-8910
(517) 975-8925
Mailing address
PO BOX 775366, CHICAGO, IL 60677-5366
(517) 975-6000

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160C311260
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/31/2007
Last updated
11/14/2023
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