Organization
MCLAREN FLINT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED KORTE (CFO)
(810) 342-2000
Entity
Organization
Contact information
Practice address
401 S BALLENGER HWY, FLINT, MI 48532
(810) 342-2000
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008760660
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/05/2007
Last updated
08/09/2018
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