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Organization

GREAT LAKES OBGYN SPECIALIST

Active
Parent organization
MERCY HEALTH PARTNERS
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCY HEALTH PARTNERS
Authorized official
MICHELLE LOHMAN (DIRECTOR NETWORK FINANCIAL SERVICES)
(231) 727-4499
Entity
Organization

Contact information

Practice address
1775 WELLS AVE, MUSKEGON, MI 49442-2459
(231) 773-9048
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 727-4451

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
367A00000X
Advanced Practice Midwife

Other

Enumeration date
10/18/2010
Last updated
10/18/2010
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