Mclaren Bay Region
NPI #1629357090 in Prudenville, Michigan
Provider Information
- NPI Number
- 1629357090
- Entity Type
- Organization
- Organization Name
- Mclaren Bay Region
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 16, 2011
- Last Updated
- Aug 7, 2018
Practice Location
- Address
- 200 GRAND AVE
- City
- Prudenville
- State
- Michigan
- ZIP Code
- 48651
- Phone
- (989) 366-1000
Authorized Official
- Name
- DANIELLE C JACKS PORTER
- Title
- CFO
- Phone
- (989) 894-3838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
| Internal Medicine |
| Physician Assistant |
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Gerontology — Gerontology |
| Family Medicine |
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