| NPI | 1023056744 |
|---|---|
| Former Legal Business Name | MERCY GENERAL PHYSICIAN NETWORK |
| Entity Type | Organization |
| Authorized Contact | MICHAEL GUSHO Chief Financial Officer 734-398-0642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-10-09 |