Organization
MCLAREN FLINT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED KORTE (CFO)
(810) 342-2000
Entity
Organization
Contact information
Practice address
4448 OAKBRIDGE DR, FLINT, MI 48532
(810) 342-5333
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-2000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680B512650
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/05/2007
Last updated
08/09/2018
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