McLaren Primary Care
Organization Active NPI Family Medicine Physician · Mio, MI
NPI 1871522011 · NPPES record last updated May 22, 2019
Key facts
- NPI
- 1871522011
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MCLAREN PRIMARY CARE
- Practice address
- 558 Lockwood LN
Mio, MI 48647-9387 - Phone
- (989) 826-3271
- Fax
- (989) 826-6749
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Danielle C Jacks Porter
- Title
- VP/Cfo
- Phone
- (989) 894-3838
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
558 Lockwood LN
Mio, MI 48647-9387
Mailing address
1900 Columbus Ave
Attn: McLaren Bay Region Ceo
Bay City, MI 48708-6831
Other providers in Mio, MI
- Justin Kuhns
- Madeline Lively
- James Stephens Mangutz
- McLaren Bay Region
- McLaren Central Michigan
- Catharine McNamara
- Michigan Institute of Rehabilitative Services, Inc
- Michigan Physical Therapy, Inc.
- Angie A. Miller
- Mio Pharmacy LLC
All providers in Mio, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.