Organization
MERCY HOSPITAL GRAYLING
Active
Other names
MHSN Primary Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE RIEMER (CHIEF EXECUTIVE OFFICER)
(989) 348-5461
Entity
Organization
Contact information
Practice address
2585 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9624
(989) 366-2900
Mailing address
PO BOX 566, GRAYLING, MI 49738-0566
(989) 348-1040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2009
Last updated
02/09/2015
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