Organization
MCLAREN MEDICAL GROUP
Active
Other names
McLaren Medical Management CNM Bay City
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HARDIMON (PRESIDENT AND CEO)
(810) 342-1064
Entity
Organization
Contact information
Practice address
3175 PROFESSIONAL CT, BAY CITY, MI 48706-2823
(989) 667-6325
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4208758570
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/13/2007
Last updated
05/26/2017
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