St Joseph Mercy Hospital

NPI #1649399197 in Ypsilanti, Michigan

Provider Information

NPI Number: 1649399197
Entity Type: Organization
Organization Name: St Joseph Mercy Hospital
Primary Specialty: Internal Medicine
Enumeration Date: Mar 28, 2007
Last Updated: Dec 10, 2024

Practice Location

Address: 5301 E HURON RIVER DR
Address 2: MIXED SPECIALTY PHYSICIAN, NON PHYSICIAN
City: Ypsilanti
State: Michigan
ZIP Code: 48197-1051
Phone: (734) 712-3456

Authorized Official

Name: MICHAEL P GUSHO
Title: CFO SE MI REGION
Phone: (248) 858-6174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Acute Care — Acute Care	363LA2100X
Clinical Neuropsychologist	103G00000X
Ophthalmology	207W00000X
Surgery	208600000X
Surgery - Surgical Critical Care — Surgical Critical Care	2086S0102X
Surgery - Trauma Surgery — Trauma Surgery	2086S0127X
General Practice	208D00000X
Physician Assistant	363A00000X
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X
Internal Medicine	207R00000X	Primary

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