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St Mary Mercy Physician Practices
Multi-Specialty Clinic/Center in Livonia, Michigan
NPI 1568630077

St Mary Mercy Physician Practices is a Multi-Specialty Clinic/Center based in Livonia, MI and is specialized in Multi-Specialty. St Mary Mercy Physician Practices practices in Livonia, MI. The NPI Number for St Mary Mercy Physician Practices is 1568630077 and holds a License No. (Michigan).

The current practice location address for St Mary Mercy Physician Practices is 36475 5 Mile Rd, Livonia, MI and can be reached out via phone at 734-655-4800 and via fax at 734-655-2609.

Location: 36475 5 Mile Rd, Livonia, MI, 48152-7031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568630077
Provider Name
St Mary Mercy Physician Practices
Credential
Provider Entity Type
Organization
Address
36475 5 Mile Rd, Livonia, MI, 48152-7031
Phone Number
734-655-4800
Fax Number
734-655-2609
Provider Enumeration Date
02/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010H233560 01 MI BCBS-MI PIN
institution
Provider Business Practice Location Address Details
Address
36475 5 Mile Rd
City
Livonia
State
Michigan
Zip
48154-1971
Phone Number
734-655-4800
Fax Number
734-655-2609
person
Provider Business Mailing Address Details
Address
36475 5 Mile Rd
City
Livonia
State
Michigan
Zip
48154-1971
Phone Number
734-655-4800
Fax Number
734-655-2609
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
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Definition
Definition to come...
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