| Mclaren Macomb | |
|
36500 S Gratiot Ave Ste. 202 Clinton Township MI 48035 | |
| (586) 493-3727 | |
| (586) 493-3720 |
| Full Name | Mclaren Macomb |
|---|---|
| Speciality | Family 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 36500 S Gratiot Ave Ste. 202 Clinton Township MI 48035-1772 Ph: (586) 493-3727 | Mclaren Macomb 36500 S Gratiot Ave Ste. 202 Clinton Township MI 48035 Ph: (586) 493-3727 |
| NPI Number | 1356394571 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356394571 | NPI | - | NPPES |
| 4468240 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101010690 (Michigan) | Primary |
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