Organization
MCLAREN MACOMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN S BALUTANSKI (CFO)
(586) 493-8985
Entity
Organization
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043
(586) 493-8000
Mailing address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1060000090
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1556035
—
MI
05
—
5171459
—
MI
Enumeration date
10/31/2005
Last updated
04/15/2022
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