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Organization
MERCY HOSPITAL GRAYLING
Active
Organization
MERCY HOSPITAL GRAYLING
Active
Other names
MHSN Primary Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE RIEMER (CHIEF EXECUTIVE OFFICER)
(989) 348-5461
Entity
Organization
Contact information
Practice address
2585 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9624
(989) 366-2900
Mailing address
PO BOX 566, GRAYLING, MI 49738-0566
(989) 348-1040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/18/2009
Last updated
02/09/2015
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