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
2104 JOLLY RD, SUITE 220, OKEMOS, MI 48864
(517) 381-2700
(517) 381-2727
Mailing address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-6000
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4208757700
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/05/2007
Last updated
08/02/2018
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