Organization
MCLAREN FLINT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED KORTE (VICE PRESIDENT/CFO)
(810) 342-2000
Entity
Organization
Contact information
Practice address
401 S BALLENGER HWY, FLINT, MI 48532
(810) 342-4400
(810) 342-2428
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-4400
(810) 342-2428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430B562480
BCBSM PIN#
MI
Enumeration date
03/13/2007
Last updated
08/09/2018
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