Mclaren Bay Region

NPI #1184905796 in West Branch, Michigan

Provider Information

NPI Number
1184905796
Entity Type
Organization
Organization Name
Mclaren Bay Region
Primary Specialty
Family Medicine
Enumeration Date
Sep 9, 2011
Last Updated
Aug 8, 2018

Practice Location

Address
559 PROGRESS ST
Address 2
SUITE A, BLDG A
ZIP Code
48661
Phone
(989) 345-0945

Authorized Official

Name
DANIELLE C JACKS PORTER
Title
CFO
Phone
(989) 894-3838

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Nurse Practitioner - GerontologyGerontology
Nurse Practitioner - PediatricsPediatrics
Internal Medicine
Physician Assistant
Family Medicine

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