Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

McLaren Macomb

Organization Pediatrics Physician · NPI 1083669691

McLaren Macomb is a Pediatrics Physician in Mt Clemens, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

1000 Harrington Blvd Attn: Special Care Nursery
Mt Clemens, MI 48043
Phone: (586) 493-8296
Fax: (586) 741-4114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301085002 (MI)

Record details

NPI number1083669691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Brisse — Ceo · (586) 493-8083
NPI enumeratedMay 23, 2006
Last updated in NPPESMay 23, 2018
Mailing address1000 Harrington Blvd., Attn: Special Care Nursery, Mt. Clemens, MI 48043-2920