Organization
MCLAREN BAY REGION
Active
Organization
MCLAREN BAY REGION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE C JACKS PORTER (CFO)
(989) 894-3838
Entity
Organization
Contact information
Practice address
4680 MCLEOD DR E, SAGINAW, MI 48604
(989) 791-9133
(989) 791-9135
Mailing address
4680 MCLEOD DR E, SAGINAW, MI 48604-2852
(989) 791-9133
(989) 791-9135
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/14/2013
Last updated
08/08/2018
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