Organization
MCLAREN PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE C JACKS PORTER (VP/CFO)
(989) 894-3838
Entity
Organization
Contact information
Practice address
2990 CAMPBELL RD, ROSE CITY, MI 48654-9724
(989) 685-2333
(989) 685-2760
Mailing address
1900 COLUMBUS AVE, ATTN: MCLAREN BAY REGION CEO, BAY CITY, MI 48708-6831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
05/21/2019
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