| NPI | 1871232470 |
|---|---|
| Doing Business As | MERCY HEALTH LAKESHORE CAMPUS |
| Entity Type | Organization |
| Authorized Contact | GARY EDWARD ALLORE President 231-728-4809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |