| St Mary Mercy Hospital Professional | |
|
2006 Hogback Rd Suite 1 Ann Arbor MI 48105-9750 | |
| (734) 786-2300 | |
| Not Available |
| Full Name | St Mary Mercy Hospital Professional |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2006 Hogback Rd, Ann Arbor, Michigan |
| Authorized Official Name and Position | Michael P Gusho (SEMI REGIONAL CFO) |
| Authorized Official Contact | 2488586174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Mary Mercy Hospital Professional 36475 5 Mile Rd Livonia MI 48154-1971 Ph: (734) 655-4800 | St Mary Mercy Hospital Professional 2006 Hogback Rd Suite 1 Ann Arbor MI 48105-9750 Ph: (734) 786-2300 |
| NPI Number | 1073063400 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073063400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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