Mercy Professional Services

NPI #1912951468 in Grayling, Michigan

Provider Information

NPI Number: 1912951468
Entity Type: Organization
Organization Name: Mercy Professional Services
Primary Specialty: Internal Medicine
Enumeration Date: May 20, 2006
Last Updated: Feb 8, 2008

Practice Location

Address: 1100 E MICHIGAN AVE
City: Grayling
State: Michigan
ZIP Code: 49738-1312
Phone: (989) 348-5461

Authorized Official

Name: STEPHANIE RIEMER-MATUZAK
Title: CHIEF EXECUTIVE OFFICER
Phone: (989) 348-5461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Internal Medicine	207R00000X	Primary

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