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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
24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 48105-9484
(734) 930-4020
Mailing address
34505 W 12 MILE RD, SUITE 200, FARMINGTON HILLS, MI 48331-3258
(734) 343-3922
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
10/05/2017
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