Organization
MCLAREN MACOMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS M BRISSE (CEO)
(586) 493-8083
Entity
Organization
Contact information
Practice address
8180 26 MILE RD., STE. 101, SHELBY TOWNSHIP, MI 48316
(586) 677-3355
(586) 677-3352
Mailing address
8180 26 MILE RD., STE. 101, SHELBY TOWNSHIP, MI 48316-5129
(586) 677-3355
(586) 677-3352
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4259188
—
MI
05
—
4282112
—
MI
05
—
4346739
—
MI
05
—
4414024
—
MI
05
—
4428146
—
MI
05
—
4463889
—
MI
Enumeration date
05/16/2006
Last updated
05/23/2018
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