Organization
MCLAREN NORTHERN MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN THOMPSON (VP/CFO)
(231) 487-4094
Entity
Organization
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4000
Mailing address
PO BOX 775366, CHICAGO, IL 60677-5366
(231) 487-4094
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/08/2012
Last updated
10/01/2020
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