MCLAREN MACOMB NPI 1457303810

NPI Information

  • NPI: 1457303810
  • Provider Name: MCLAREN MACOMB
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 23D0912329
  • Address: 43900 GARFIELD RD
    STE. 121
    CLINTON TOWNSHIP, MI
    ZIP 48038
  • Phone: (586) 228-3880

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NPI Details

MCLAREN MACOMB is a family medicine in Clinton Township, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MCLAREN MACOMB NPI is 1457303810. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

43900 GARFIELD RD
STE. 121
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 228-3880
Fax: (586) 228-7351

The provider's authorized official is Thomas M Brisse .
The authorized official title is Ceo and has the following contact phone number (586) 493-8083.

The CLIA number assigned to this NPI record is 23D0912329 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 5/23/2018.

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
1207Q00000XFamily MedicineYes

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
14282103MEDICAIDMICHIGAN
24414015MEDICAIDMICHIGAN
34463913MEDICAIDMICHIGAN
44790962MEDICAIDMICHIGAN
54343414MEDICAIDMICHIGAN
64259179MEDICAIDMICHIGAN

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: 11/21/2025

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