| Mclaren Macomb | |
|
36500 S Gratiot Ave Suite 102 Clinton Township MI 48035 | |
| (586) 790-9003 | |
| (586) 493-3603 |
| Full Name | Mclaren Macomb |
|---|---|
| Speciality | Internal Medicine |
| Location | 36500 S Gratiot Ave, Clinton Township, Michigan |
| Authorized Official Name and Position | Thomas M Brisse (CEO) |
| Authorized Official Contact | 5864938083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mclaren Macomb 401 S Ballenger Hwy Flint MI 48532-3638 Ph: (810) 342-1000 | Mclaren Macomb 36500 S Gratiot Ave Suite 102 Clinton Township MI 48035 Ph: (586) 790-9003 |
| NPI Number | 1215057609 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215057609 | NPI | - | NPPES |
| 110E062060 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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