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Organization
MERCY HOSPITAL CADILLAC
Active
Organization
MERCY HOSPITAL CADILLAC
Active
Parent organization
TRINITY HEALTH-MICHIGAN
Other names
Mercy Cadillac Physician Network
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY HEALTH-MICHIGAN
Authorized official
JOHN L. MACLEOD (CEO)
(231) 876-7200
Entity
Organization
Contact information
Practice address
7985 MACKINAW TRL, CADILLAC, MI 49601-8111
(231) 876-6200
Mailing address
PO BOX 533, GRAYLING, MI 49738-0533
(231) 876-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/27/2011
Last updated
05/20/2013
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