Organization
ST JOSEPH MERCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN FREDERICK ZUSKA (M.D.)
(248) 345-6813
Entity
Organization
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
5053 BANTRY DR, WEST BLOOMFIELD, MI 48322-1531
(248) 345-6813
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4301088659
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301088659
BOARD OF MEDICINE EDUCATIONAL LIMITED LICENSE
MI
01
—
5315028012
BOARD OF PHARMACY CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
08/12/2008
Last updated
08/12/2008
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