| Mclaren Macomb | |
|
8180 26 Mile Rd. Ste. 101 Shelby Township MI 48316 | |
| (586) 677-3355 | |
| (586) 677-3352 |
| Full Name | Mclaren Macomb |
|---|---|
| Speciality | Family Medicine |
| Location | 8180 26 Mile Rd., Shelby 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 8180 26 Mile Rd. Ste. 101 Shelby Township MI 48316-5129 Ph: (586) 677-3355 | Mclaren Macomb 8180 26 Mile Rd. Ste. 101 Shelby Township MI 48316 Ph: (586) 677-3355 |
| NPI Number | 1821040288 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821040288 | NPI | - | NPPES |
| 4259188 | Medicaid | MI | |
| 4414024 | Medicaid | MI | |
| 4346739 | Medicaid | MI | |
| 4463889 | Medicaid | MI | |
| 4428146 | Medicaid | MI | |
| 4282112 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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