# GREAT LAKES OBGYN SPECIALIST

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY HEALTH PARTNERS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225348741
- **Legal business name:** MERCY HEALTH PARTNERS
- **Authorized official:** MICHELLE LOHMAN (DIRECTOR NETWORK FINANCIAL SERVICES)
- **Authorized official phone:** (231) 727-4499

## Contact information

- **Practice address:** 1775 WELLS AVE, MUSKEGON, MI 49442-2459
- **Practice address phone:** (231) 773-9048
- **Mailing address:** PO BOX 1847, MUSKEGON, MI 49443-1847
- **Mailing address phone:** (231) 727-4444
- **Mailing address fax:** (231) 727-4451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 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