Organization
MERCY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK WEINER (CEO)
(248) 858-3140
Entity
Organization
Contact information
Practice address
1812 S ROCHESTER RD, ROCHESTER HILLS, MI 48307-3532
(248) 656-3515
(248) 656-7748
Mailing address
44428 WOODWARD AVE, LOWER LEVEL, PONTIAC, MI 48341-5009
(248) 858-6144
(248) 858-6232
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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