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NPI Code Detail

MEDICARE: MERCY WOMEN'S HEALTH SERVICES

MEDICARE: MERCY WOMEN'S HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerMI
2207V00000XObstetrics & Gynecology PhysicianMI

General Provider Information

NPI Number : 1467476143
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY WOMEN'S HEALTH SERVICES
Provider Business Mailing Address
First Line : PO BOX 776982
Second Line :
City : CHICAGO
State : IL
Zip : 60677-1847
Country : US
Telephone Number : 800-494-5797
Fax Number :
Provider Business Practice Location Address
First Line : 1675 LEAHY ST STE 201A
Second Line :
City : MUSKEGON
State : MI
Zip : 49442-5542
Country : US
Telephone Number : 231-672-6600
Fax Number : 231-727-4691
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MICHAEL GUSHO
Credential :
Telephone Number : 734-398-0642
Provider Enumeration Date : 07/27/2006
Last Update Date : 03/05/2026

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Directions to “MERCY WOMEN'S HEALTH SERVICES ” Practice Location

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