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Organization

SAINT JOSEPH MERCY LIVINGSTON HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARIANA GRACE RAYMOND (MANAGER PROVIDER ENROLLMENT)
(734) 343-1466
Entity
Organization

Contact information

Practice address
7555 GRAND RIVER RD, BRIGHTON, MI 48114-9338
(810) 854-8000
Mailing address
5301 E HURON RIVER DR, PO BOX 993, MC 69504, YPSILANTI, MI 48197-1051
(734) 712-3456

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
430D760130
BS BCN CRNA MOR
MI
Enumeration date
03/29/2007
Last updated
05/05/2026
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