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Organization

CHELSEA COMMUNITY HOSPITAL

Active
Other names
St. Joseph Mercy Chelsea
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL P GUSHO (SE MI REGIONAL C.F.O.)
(734) 398-0642
Entity
Organization

Contact information

Practice address
775 S MAIN ST, CHELSEA, MI 48118-1383
(734) 593-6000
Mailing address
34505 W 12 MILE RD STE 200, FARMINGTON HILLS, MI 48331-3286
(734) 343-3922

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
103TC0700X
Clinical Psychologist
Primary
2084P0800X
Psychiatry Physician
363A00000X
Physician Assistant

Other

Enumeration date
09/22/2006
Last updated
02/23/2018
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