Organization
CHELSEA PROFESSIONAL SERVICES
Active
Other names
ST. JOE'S MEDICAL GROUP - SALINE PRIMARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAUL GUSHO (CFO, MICHIGAN REGION)
(248) 858-6174
Entity
Organization
Contact information
Practice address
208 W BENNETT ST, SALINE, MI 48176-1105
(734) 429-9377
(734) 429-8277
Mailing address
44428 WOODWARD AVE STE 101, PONTIAC, MI 48341-5009
(248) 858-3015
(248) 858-6232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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