Organization
GREATER LANSING SURGEONS, P.C.
Active
Other names
Greater Lansing Surgeons, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WILLIAM MERCER D.O. (PRESIDENT)
(517) 487-8255
Entity
Organization
Contact information
Practice address
2815 S PENNSYLVANIA AVE, SUITE 105, LANSING, MI 48910-3496
(517) 487-8255
(517) 487-2059
Mailing address
2815 S PENNSYLVANIA AVE, SUITE 105, LANSING, MI 48910-3496
(517) 487-8255
(517) 487-2059
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
CM005070
MI
208600000X
Surgery Physician
JD014681
MI
208600000X
Surgery Physician
SS013541
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4404799
—
MI
05
—
4748047
—
MI
01
—
5330326
BCBSM
MI
01
—
53311215
BCBSM
MI
01
—
5331175
BCBSM
MI
01
—
CA 3383
RAILROAD MEDICARE
MI
Enumeration date
05/04/2006
Last updated
10/24/2007
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