Provider Demographics
NPI:1255450748
Name:MCLAUGHLIN, ERIC E (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:E
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:122 GRANT STREET
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-2281
Mailing Address - Country:US
Mailing Address - Phone:269-687-1136
Mailing Address - Fax:269-684-0189
Practice Address - Street 1:1234 NAPIER AVE.
Practice Address - Street 2:
Practice Address - City:ST. JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-2112
Practice Address - Country:US
Practice Address - Phone:269-982-4862
Practice Address - Fax:269-985-4523
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2012-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301088296207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI2051176Medicare PIN