| Mclaren Macomb | |
|
43900 Garfield Rd Ste. 121 Clinton Township MI 48038 | |
| (586) 228-3880 | |
| (586) 228-7351 |
| Full Name | Mclaren Macomb |
|---|---|
| Speciality | Family Medicine |
| Location | 43900 Garfield Rd, 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 43900 Garfield Rd Ste. 121 Clinton Township MI 48038-1128 Ph: (586) 228-3880 | Mclaren Macomb 43900 Garfield Rd Ste. 121 Clinton Township MI 48038 Ph: (586) 228-3880 |
| NPI Number | 1457303810 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457303810 | NPI | - | NPPES |
| 4343414 | Medicaid | MI | |
| 4463913 | Medicaid | MI | |
| 4259179 | Medicaid | MI | |
| 4790962 | Medicaid | MI | |
| 4282103 | Medicaid | MI | |
| 4414015 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Rudyard L. Dimson Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43351 Commons Dr, Clinton Township, MI 48038 Phone: 586-228-8606 | |
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