| NPI | 1629010384 |
|---|---|
| Former Legal Business Name | MERCY GENERAL SPECIALTY SERVICES |
| Entity Type | Organization |
| Authorized Contact | MICHELLE LOHMAN Regional Director 231-672-2120 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| 363L00000X Nurse Practitioner | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-02-21 |