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Organization

MCLAREN CENTRAL MICHIGAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TARA SOULES (VP/CFO)
(989) 772-6818
Entity
Organization

Contact information

Practice address
560 W MITCHELL ST, STES 125,160,170,185,300,400,505,560,M40,C80,C70,240, PETOSKEY, MI 49770-2275
(231) 487-2460
(231) 487-6596
Mailing address
1221 SOUTH DR, MT PLEASANT, MI 48858-3257
(989) 772-6700

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
05/12/2020
Last updated
10/21/2021
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