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Organization

MERCY HOSPITAL GRAYLING

Active
Other names
Mercy Family Care Roscommon
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE RIEMER (CHIEF EXECUTIVE OFFICER)
(989) 348-5461
Entity
Organization

Contact information

Practice address
234 LAKE ST, ROSCOMMON, MI 48653-9203
(989) 275-1200
Mailing address
PO BOX 647, GRAYLING, MI 49738-0647
(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
10/08/2013
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