| NPI | 1467476143 |
|---|---|
| Doing Business As | TRINITY HEALTH MEDICAL GROUP OBSTETRICS AND GYNECOLOGY HACKLEY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL GUSHO Chief Financial Officer 734-398-0642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-10-10 |