Organization
ST MARYS OF MICHIGAN SPECIALISTS
Active
Parent organization
ST MARYS OF MICHIGAN SPECIALIST
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST MARYS OF MICHIGAN SPECIALIST
Authorized official
MICHAEL L LONG MBA (VICE PRESIDENT)
(989) 497-3095
Entity
Organization
Contact information
Practice address
4690 MCLEOD DR E, SAGINAW, MI 48604-2836
(989) 249-5454
(989) 249-5468
Mailing address
4690 MCLEOD DR E, SAGINAW, MI 48604-2836
(989) 249-5454
(989) 249-5468
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
12/31/2008
Last updated
12/31/2008
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