Organization
MCLAREN NORTHERN MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PRUSAITIS (CFO)
(559) 450-3375
Entity
Organization
Contact information
Practice address
748 S MAIN ST, CHEBOYGAN, MI 49721-2220
(231) 627-5601
Mailing address
748 S MAIN ST, CHEBOYGAN, MI 49721-2220
(231) 627-5601
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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