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
2815 S PENNYSLVANIA, SUITE 102, LANSING, MI 48910
(517) 351-8888
(517) 351-7189
Mailing address
2815 S PENNSYLANIA AVE, SUITE 102, LANSING, MI 48910
(517) 351-7189
(517) 351-7189
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200C360350
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/06/2008
Last updated
08/02/2018
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