| St Joseph Mercy Hospital | |
|
5361 Mcauley Dr Shs Ypsilanti MI 48197-1051 | |
| (734) 712-5189 | |
| Not Available |
| Full Name | St Joseph Mercy Hospital |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5361 Mcauley Dr, Ypsilanti, Michigan |
| Authorized Official Name and Position | Michael P Gusho (CFO SE MI) |
| Authorized Official Contact | 2488586174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Joseph Mercy Hospital 34505 W 12 Mile Rd Ste 200 Farmington Hills MI 48331-3286 Ph: (734) 343-3922 | St Joseph Mercy Hospital 5361 Mcauley Dr Shs Ypsilanti MI 48197-1051 Ph: (734) 712-5189 |
| NPI Number | 1558480053 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 10/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558480053 | NPI | - | NPPES |
| 800H110390 | Other | MI | BS BCN MSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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