Mercy Physician Network

NPI #1639502701 in Fruitport, Michigan

Provider Information

NPI Number: 1639502701
Entity Type: Organization
Organization Name: Mercy Physician Network
Subpart: Yes (part of a larger organization)
Parent Organization: MERCY HEALTH PARTNERS
Primary Specialty: Family Medicine
Enumeration Date: Aug 13, 2013
Last Updated: Feb 3, 2015

Practice Location

Address: 3443 FARR RD
City: Fruitport
State: Michigan
ZIP Code: 49415-8779
Phone: (231) 672-2900

Authorized Official

Name: MICHELLE LOHMAN
Title: REGIONAL DIRECTOR PHY REV CYCLE
Phone: (231) 727-4499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Student in an Organized Health Care Education/Training Program	390200000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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