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MCLAREN MEDICAL GROUP NPI 1306983176


NPI Information

NPI: 1306983176
Provider Name: MCLAREN MEDICAL GROUP

Other Name: MCLAREN MEDICAL MANAGMENT, INC.

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1254 N MAIN ST
LAPEER, MI
ZIP 48446
Phone: (810) 664-4531
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MCLAREN MEDICAL GROUP is a pediatrics in Lapeer, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MCLAREN MEDICAL GROUP NPI is 1306983176. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mclaren Medical Managment, Inc..

The provider's business location address is:

1254 N MAIN ST
LAPEER, MI
ZIP 48446-343
Phone: (810) 664-4531
Fax: (810) 337-7337

The provider's authorized official is William Hardimon .
The authorized official title is Ceo and has the following contact phone number (810) 342-1040.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 2/12/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1350D410030OTHERMICHIGANBLUE CROSS BLUE SHIELD
20M28420MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE
3=========OTHERMICHIGANTAX ID
40P40350MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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