McLaren Macomb

Organization Active NPI Emergency Medicine Physician · Harrison Township, MI

NPI 1013256296 · NPPES record last updated May 23, 2018

Key facts

NPI
1013256296
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
MCLAREN MACOMB
Practice address
39833 Bridgeview St
Harrison Township, MI 48045
Phone
(586) 627-2727
Fax
(586) 627-2730
NPI assigned
Feb 7, 2013
Organization subpart
No

Authorized official

Name
Mr. Thomas M Brisse
Title
Ceo
Phone
(586) 493-8083

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Georgetown OB GYN (12 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes

Addresses

Primary practice location

39833 Bridgeview St
Harrison Township, MI 48045

Mailing address

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-1000

Other providers in Harrison Township, MI

All providers in Harrison Township, MI · Emergency Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.