Organization
MERCY MEDICAL GROUP-PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK WEINER (CEO)
(248) 858-3140
Entity
Organization
Contact information
Practice address
2630 UNION LAKE RD, SUITE 100, COMMERCE TOWNSHIP, MI 48382-3582
(248) 360-1200
(248) 360-6182
Mailing address
44428 WOODWARD AVE, LOWER LEVEL, PONTIAC, MI 48341-5009
(248) 858-6144
(248) 858-6232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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