| St Mary Mercy Physician Practices | |
|
5555 Conner St Ste 2691 Detroit MI 48213-3812 | |
| (313) 692-8400 | |
| (313) 692-8431 |
| Full Name | St Mary Mercy Physician Practices |
|---|---|
| Speciality | Family Medicine |
| Location | 5555 Conner St Ste 2691, Detroit, Michigan |
| Authorized Official Name and Position | Susan Lockard (SR REVENUE MANAGEMENT ANALYST) |
| Authorized Official Contact | 7343430282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Mary Mercy Physician Practices 14555 Levan Rd Ste 310 Livonia MI 48154-5085 Ph: (734) 655-2989 | St Mary Mercy Physician Practices 5555 Conner St Ste 2691 Detroit MI 48213-3812 Ph: (313) 692-8400 |
| NPI Number | 1801303086 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 01/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801303086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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