| NPI | 1548570062 |
|---|---|
| Doing Business As | TRINITY HEALTH MEDICAL GROUP OBSTETRICS & GYNECOLOGY - LAKE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL GUSHO Chief Financial Office 734-398-0642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2024-10-10 |