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NPI Code Detail

MEDICARE: ST JOSEPH MERCY HOSPITAL

MEDICARE: ST JOSEPH MERCY HOSPITAL
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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1245538214
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST JOSEPH MERCY HOSPITAL
Provider Business Mailing Address
First Line : 34505 W 12 MILE RD STE 200
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48331-3286
Country : US
Telephone Number : 734-343-3922
Fax Number :
Provider Business Practice Location Address
First Line : 501 N MAPLE RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-2827
Country : US
Telephone Number : 734-327-3933
Fax Number :
Authorized Official
Title or Position : CFO SE MI REGION
Name : MICHAEL P GUSHO
Credential :
Telephone Number : 248-858-6174
Provider Enumeration Date : 03/01/2011
Last Update Date : 10/05/2017

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Directions to “ST JOSEPH MERCY HOSPITAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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