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Organization
TRINITY HEALTH MICHIGAN
Active
Organization
TRINITY HEALTH MICHIGAN
Active
Parent organization
TRRINTY HEALTH MICHIGAN
Other names
Mercy Primary Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRRINTY HEALTH MICHIGAN
Authorized official
MS. TAWANA L NETTLES-ROBINSON (EXECUTIVE DIRECTOR)
(313) 692-8400
Entity
Organization
Contact information
Practice address
5555 CONNER ST, STE. 2691, DETROIT, MI 48213-3448
(313) 692-8400
(313) 692-8431
Mailing address
5555 CONNER ST, STE. 2691, DETROIT, MI 48213-3448
(313) 692-8400
(313) 692-8431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/13/2007
Last updated
06/08/2017
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