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Organization
ST JOSEPH MERCY HOSPITAL
Active
Organization
ST JOSEPH MERCY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P GUSHO (CFO SE MI REGION)
(248) 858-6174
Entity
Organization
Contact information
Practice address
1600 S CANTON CENTER RD, CANTON, MI 48188-1992
(734) 398-7557
Mailing address
34505 W 12 MILE RD STE 200, FARMINGTON HILLS, MI 48331-3286
(734) 343-3922
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/06/2011
Last updated
10/05/2017
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