Organization
MCLAREN CENTRAL MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SOULES (VP/CFO)
(989) 772-6720
Entity
Organization
Contact information
Practice address
1221 SOUTH DR, MOUNT PLEASANT, MI 48858-3257
(989) 772-6700
Mailing address
1221 SOUTH DR, MOUNT PLEASANT, MI 48858-3257
(800) 671-1453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/23/2012
Last updated
05/01/2020
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