Organization
MERCY PHYSICIAN NETWORK
Active
Parent organization
MERCY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HOSPITAL
Authorized official
MS. BARBARA GIELINCKI NP (NP)
(989) 366-2900
Entity
Organization
Contact information
Practice address
2585 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9624
(989) 366-2900
(989) 366-1166
Mailing address
2585 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9624
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4704113561
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704113561
LICENSE
MI
Enumeration date
10/18/2012
Last updated
10/18/2012
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