Organization
MCLAREN MEDICAL GROUP
Active
Other names
McLaren Medical Managment, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HARDIMON (CEO)
(810) 342-1040
Entity
Organization
Contact information
Practice address
1254 N MAIN ST, LAPEER, MI 48446-1343
(810) 664-4531
(810) 667-7337
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700D410040
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/31/2007
Last updated
02/12/2016
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