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Organization
GREAT LAKES OBGYN SPECIALIST
Active
Organization
GREAT LAKES OBGYN SPECIALIST
Active
Parent organization
MERCY HEALTH PARTNERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH PARTNERS
Authorized official
MICHELLE LOHMAN (DIRECTOR NETWORK FINANCIAL SERVICES)
(231) 727-4499
Entity
Organization
Contact information
Practice address
1775 WELLS AVE, MUSKEGON, MI 49442-2459
(231) 773-9048
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 727-4451
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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