Organization
MCLAREN NORTHERN MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PRUSAITIS (CFO)
(559) 450-3375
Entity
Organization
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4000
(231) 487-4552
Mailing address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-7684
(231) 487-7721
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1060000053
MI
Other
Enumeration date
08/23/2006
Last updated
04/15/2022
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