Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MCLAREN PRIMARY CARE
Active OrganizationPhysician Assistant · WEST BRANCH, MI
Registration Details
- NPI Number
- 1972894566
- Provider Type
- Organization
- NPI Issued
- Apr 29, 2011 (15.022280017128 yrs)
- Last Updated
- May 22, 2019
- Licenses
-
4301062477 (MI)4704214196 (MI)5601005840 (MI)
Practice Information
- Address
-
1807 M-55WEST BRANCH, MI, 486610000Browse MI providers · Browse ZIP 48661
- Phone
- 9893450945
- Fax
- 9893452831
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.