# ST JOSEPH MERCY HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497152243
- **Authorized official:** MICHAEL P GUSHO (CFO SE MI REGION)
- **Authorized official phone:** (248) 858-6174

## Contact information

- **Practice address:** 5333 MCAULEY DRIVE, SUITE 1100, YPSILANTI, MI 48197
- **Practice address phone:** (734) 712-2173
- **Mailing address:** 34505 W 12 MILE RD STE 200, FARMINGTON HILLS, MI 48331-3286
- **Mailing address phone:** (734) 343-3922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 1060000071 | MI | Yes |

## Other

- **Enumeration date:** 11/21/2014
- **Last updated:** 10/05/2017