Organization
MCLAREN GREATER LANSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE THOMPSON (CFO)
(517) 975-7555
Entity
Organization
Contact information
Practice address
2270 JOLLY OAK RD STE 1, OKEMOS, MI 48864-6932
(517) 975-9475
Mailing address
2270 JOLLY OAK RD STE 1, OKEMOS, MI 48864-6932
(517) 975-9475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/15/2012
Last updated
08/12/2021
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