Organization
MERCY PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L MACLEOD (CEO)
(231) 876-7200
Entity
Organization
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7200
Mailing address
PO BOX 838, GRAYLING, MI 49738-0838
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/16/2007
Last updated
11/30/2009
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