Mclaren Macomb

LBN: Mclaren Macomb
Mclaren Macomb is an health care organization with primary practice located at 36500 S Gratiot Ave Suite 102, Clinton Township MI 48035. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mclaren Macomb can be contacted via phone (586) 790-9003, or through Brisse, Thomas M via phone (586) 493-8083.

Contact Information

Primary practice address
36500 S Gratiot Ave Suite 102 Clinton Township MI 48035
Phone: (586) 790-9003
Fax: (586) 493-3603
Website:
Map and Directions
Authorized official contact:
Name: Brisse, Thomas M
Phone: (586) 493-8083

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1215057609
LBN Legal business name Mclaren Macomb
DBA Doing business as
Authorized official Brisse, Thomas M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated May 23rd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215057609 NPPES
Michigan Other 110E062060 BLUE CROSS BLUE SHIELD

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