OrganizationActive
Mclaren Macomb
NPI 1821049990 · Pediatric Neurodevelopmental Disabilities Physician · Clinton Township, MI
Provider details
- NPI number
- 1821049990
- Entity type
- Organization
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Brisse, Ceo(586) 493-8083
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Cardiology Physician2080P0202X
Allopathic & Osteopathic Physicians
Practice location
43900 Garfield Rd
Ste. 201
Clinton Township, MI 48038
Phone: (586) 412-5110
Fax: (586) 412-5116
Approximate (ZIP-level) locationGet directions
Mailing address
43900 Garfield Rd
Clinton Township, MI 48038-1128
Other names (DBA / former)
- Doing business as
- Pediatric Specialty Group
- Doing business as
- Pediatric Specialty Group
Registry dates
- Enumerated
- 2006-05-13
- Last updated
- 2018-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.