Organization
MCLAREN CENTRAL MICHIGAN
Active
Other names
McLaren Northern Michigan - Gaylord Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SOULES (VP/CFO)
(989) 772-6818
Entity
Organization
Contact information
Practice address
1320 E M 32, GAYLORD, MI 49735-8378
(989) 731-5092
(989) 705-8325
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
10/25/2021
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