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Organization
ST MARYS OF MICHIGAN SPECIALISTS
Active
Organization
ST MARYS OF MICHIGAN SPECIALISTS
Active
Parent organization
ST MARYSOF MICHIGAN SPECIALISTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST MARYSOF MICHIGAN SPECIALISTS
Authorized official
MICHAEL L LONG MBA (VP OF AMBULATORY SERVICES)
(989) 497-3095
Entity
Organization
Contact information
Practice address
4677 TOWNE CTR, MEDICAL ARTS 3 SUITE 201, SAGINAW, MI 48604-2846
(989) 497-3123
(989) 497-3116
Mailing address
4677 TOWNE CTR, MEDICAL ARTS 3 SUITE 201, SAGINAW, MI 48604-2846
(989) 497-3123
(989) 497-3116
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
NULL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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