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Organization
SAINT JOSEPH MERCY SALINE HOSPITAL
Active
Organization
SAINT JOSEPH MERCY SALINE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRY FAJA (PRESIDENT CEO)
(734) 712-3791
Entity
Organization
Contact information
Practice address
400 W RUSSELL ST, SALINE, MI 48176-1183
(734) 429-1500
Mailing address
5301 E HURON RIVER DR, PO BOX 993, MC 69504, YPSILANTI, MI 48197-1051
(734) 712-3456
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110H113860
BS BCN AOG SHS
—
01
—
700H161140
BS BCN PATH, LAB
MI
Enumeration date
03/29/2007
Last updated
09/21/2011
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