Organization
ST MARY MERCY HOSPITAL PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAUL GUSHO (REGIONAL CFO, TRINITY HEALTH - MICH)
(734) 398-0642
Entity
Organization
Contact information
Practice address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 431-6798
Mailing address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 431-6798
(734) 528-0819
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
04/11/2023
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