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Organization

MCLAREN THUMB REGION

Active
Other names
Port Austin Primary Care Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH BARANSKI (VP/CFO)
(989) 269-1510
Entity
Organization

Contact information

Practice address
24 E SPRING ST, PORT AUSTIN, MI 48467-6736
(989) 738-5222
(989) 738-5224
Mailing address
1100 S VAN DYKE RD, BAD AXE, MI 48413-9615
(989) 269-9521
(989) 269-5602

Taxonomy

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

Other

Enumeration date
07/20/2012
Last updated
11/14/2024
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