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Organization

MCLAREN PRIMARY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE C JACKS PORTER (VP/CFO)
(989) 894-3838
Entity
Organization

Contact information

Practice address
558 LOCKWOOD LN, MIO, MI 48647-9387
(989) 826-3271
(989) 826-6749
Mailing address
1900 COLUMBUS AVE, ATTN: MCLAREN BAY REGION CEO, BAY CITY, MI 48708-6831

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
07/01/2006
Last updated
05/22/2019
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