Organization
SAINT JOSEPH MERCY LIVINGSTON HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAUL GUSHO (CFO)
(231) 672-3886
Entity
Organization
Contact information
Practice address
7575 GRAND RIVER, BRIGHTON URGENT CARE, BRIGHTON, MI 48114-9309
(810) 844-7575
Mailing address
5301 E HURON RIVER DR, PO BOX 993, MC 69504, YPSILANTI, MI 48197-1051
(734) 712-3456
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010D760070
BS/BCN PHY, NON-PHY
MI
01
—
500D711270
BS/BCN CNP
MI
Enumeration date
03/29/2007
Last updated
04/22/2026
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