Organization
SJMH MEDICAL PRACTICE-SMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAUL GUSHO (CFO)
(231) 672-3886
Entity
Organization
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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