Organization
ST JOSEPH MERCY HOSPITAL
Active
Other names
Trinity Heath Ann Arbor Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ARIANA GRACE RAYMOND (MANAGER PROVIDER ENROLLMENT)
(734) 343-1466
Entity
Organization
Contact information
Practice address
5301 HURON RIVER DRIVE, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
20555 VICTOR PKWY, LIVONIA, MI 48152-7031
(734) 343-3922
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
810030
MI
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00042
BLUE CROSS AND BCN
MI
01
—
100019
CARE CHOICES
MI
05
—
1557023
—
MI
01
—
4480502
AETNA SPORTSNET
MI
05
—
5172017
—
MI
Enumeration date
02/17/2006
Last updated
05/04/2026
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