Organization
ST MARYS OF MICHIGAN SPECIALISTS
Active
Parent organization
ST MARYSOF MICHIGAN SPECIALISTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST MARYSOF MICHIGAN SPECIALISTS
Authorized official
MICHAEL L LONG MBA (VP OF AMBULATORY SERVICES)
(989) 497-3095
Entity
Organization
Contact information
Practice address
4677 TOWNE CTR, MEDICAL ARTS 3 SUITE 201, SAGINAW, MI 48604-2846
(989) 497-3123
(989) 497-3116
Mailing address
4677 TOWNE CTR, MEDICAL ARTS 3 SUITE 201, SAGINAW, MI 48604-2846
(989) 497-3123
(989) 497-3116
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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