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Organization
MERCY MEDICAL GROUP
Active
Organization
MERCY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK WEINER (CEO)
(248) 858-3140
Entity
Organization
Contact information
Practice address
2630 UNION LAKE RD, SUITE 100, COMMERCE TOWNSHIP, MI 48382-3582
(248) 360-1200
(248) 360-6182
Mailing address
44428 WOODWARD AVE, PONTIAC, MI 48341-5009
(248) 858-6144
(248) 858-6232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/10/2006
Last updated
09/11/2025
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