Organization
MERCY PHYSICIAN NETWORK
Active
Parent organization
YES
Other names
Mercy Grayling
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
MRS. HAYLEY BAKER NP (NURSE PRACTIONER)
(989) 366-2900
Entity
Organization
Contact information
Practice address
2585 W HOUGHTON LAKE DRIVE, PRUDENVILLE, MI 48651
(989) 366-2900
(989) 366-1166
Mailing address
2585 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9624
(989) 366-2900
(989) 366-1166
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4704226766
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BOYSCOUT2
NPI 1942519525
MI
Enumeration date
09/25/2012
Last updated
09/25/2012
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