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Organization
ST JOSEPH MERCY HOSPITAL
Active
Organization
ST JOSEPH MERCY HOSPITAL
Active
Other names
Trinity Heath Ann Arbor Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ARIANA GRACE RAYMOND (MANAGER PROVIDER ENROLLMENT)
(734) 343-1466
Entity
Organization
Contact information
Practice address
5301 HURON RIVER DRIVE, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
20555 VICTOR PKWY, LIVONIA, MI 48152-7031
(734) 343-3922
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
810030
MI
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00042
BLUE CROSS AND BCN
MI
01
—
100019
CARE CHOICES
MI
05
—
1557023
—
MI
01
—
4480502
AETNA SPORTSNET
MI
05
—
5172017
—
MI
Enumeration date
02/17/2006
Last updated
05/04/2026
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