# MERCY MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053352971
- **Authorized official:** MR. JACK WEINER (CEO)
- **Authorized official phone:** (248) 858-3140

## Contact information

- **Practice address:** 2630 UNION LAKE RD, SUITE 100, COMMERCE TOWNSHIP, MI 48382-3582
- **Practice address phone:** (248) 360-1200
- **Practice address fax:** (248) 360-6182
- **Mailing address:** 44428 WOODWARD AVE, PONTIAC, MI 48341-5009
- **Mailing address phone:** (248) 858-6144
- **Mailing address fax:** (248) 858-6232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 09/11/2025