Organization
MERCY HEALTH PARTNERS
Active
Other names
Mercy Health Lakeshore Campus
Organization subpart
No
Provider details
NPI number
Authorized official
GARY EDWARD ALLORE (PRESIDENT)
(231) 728-4809
Entity
Organization
Contact information
Practice address
72 S STATE ST, SHELBY, MI 49455-1228
(231) 861-2156
Mailing address
20555 VICTOR PKWY, LIVONIA, MI 48152-7031
(734) 343-3925
(312) 957-3997
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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