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Organization

MCLAREN LAPEER REGION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRED KORTE (VP/CFO)
(810) 342-2000
Entity
Organization

Contact information

Practice address
1375 N MAIN ST, LAPEER, MI 48446-1350
(810) 667-5500
Mailing address
1375 N MAIN ST, LAPEER, MI 48446-1350
(810) 667-5500

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D0373149
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
690D415040
BLUE SHIELD PIN NUMBER
MI
Enumeration date
05/21/2007
Last updated
06/26/2019
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