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General NPI Number Information
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NPI Number | 1336573393
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH WESTSHORE CARDIOLOGY SERVICES
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Dates
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Enumeration Date | 08/27/2013
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 1223 MERCY DR
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City | MUSKEGON
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State | MI
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Zip | 49444-1829
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Country | US
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Telephone | 231-672-3500
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Fax | 231-672-6199
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Provider Business Mailing Address
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Address Line | 1212 E SHERMAN BLVD
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City | MUSKEGON
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State | MI
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Zip | 49444-1879
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Country | US
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Telephone | 231-672-3500
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Fax | 231-672-6199
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MICHAEL PAUL GUSHO
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Credential |
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Telephone | 734-398-0642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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