Mclaren Macomb

NPI #1083669691 in Mt. Clemens, Michigan

Provider Information

NPI Number: 1083669691
Entity Type: Organization
Organization Name: Mclaren Macomb
Primary Specialty: Pediatrics
Enumeration Date: May 23, 2006
Last Updated: May 23, 2018

Practice Location

Address: 1000 HARRINGTON BLVD.
Address 2: ATTN: SPECIAL CARE NURSERY
City: Mt. Clemens
State: Michigan
ZIP Code: 48043
Phone: (586) 493-8296

Authorized Official

Name: MR. THOMAS M BRISSE
Title: CEO
Phone: (586) 493-8083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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