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Organization
ST JOSEPH MERCY HOSPITAL
Active
Organization
ST JOSEPH MERCY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P GUSHO (CFO SE MI REGION)
(248) 858-6174
Entity
Organization
Contact information
Practice address
5333 MCAULEY DR, SUITE 4001, YPSILANTI, MI 48197-1014
(734) 712-3980
(734) 712-3782
Mailing address
34505 W 12 MILE RD STE 200, FARMINGTON HILLS, MI 48331-3286
(734) 343-3922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
05/15/2008
Last updated
10/05/2017
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