Organization
MEMORIAL HOSPITAL
Active
Other names
Memorial Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE GRISDELA (CFO)
(989) 723-5211
Entity
Organization
Contact information
Practice address
802 W KING ST, SUITE N, OWOSSO, MI 48867-2100
(989) 729-4041
Mailing address
826 W KING ST, PO BOX 456, OWOSSO, MI 48867-2120
(989) 729-6353
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301041531
MI
363A00000X
Physician Assistant
Primary
5601003225
MI
Other
Enumeration date
11/13/2006
Last updated
09/11/2025
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