Organization
ST. JOSEPH MERCY HOSPITAL
Active
Other names
CMHSC- Gyn Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
ROLLAND MAMBOURG M.D. (VICE PRESIDENT PHYSICIAN RELATIONS)
(734) 712-7358
Entity
Organization
Contact information
Practice address
5333 MCAULEY DR, SUITE 4015, YPSILANTI, MI 48197-1014
(734) 712-5733
Mailing address
5333 MCAULEY DR, SUITE 4015, YPSILANTI, MI 48197-1014
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
08/14/2006
Last updated
06/23/2008
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