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Organization

ST JOSEPH MERCY CHELSEA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL GUSHO (CFO)
(734) 343-0396
Entity
Organization

Contact information

Practice address
775 S MAIN ST, CHELSEA, MI 48118-1383
(734) 593-5898
(734) 593-5895
Mailing address
20555 VICTOR PKWY, LIVONIA, MI 48152-7031
(734) 343-0396

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
02/28/2020
Last updated
02/28/2020
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