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MERCY MEDICAL GROUP NPI 1053352971


NPI Information

NPI: 1053352971
Provider Name: MERCY MEDICAL GROUP
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2630 UNION LAKE RD
SUITE 100
COMMERCE TOWNSHIP, MI
ZIP 48382
Phone: (248) 360-1200
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MERCY MEDICAL GROUP is a pediatrics in Commerce Township, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MERCY MEDICAL GROUP NPI is 1053352971. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2630 UNION LAKE RD
SUITE 100
COMMERCE TOWNSHIP, MI
ZIP 48382-582
Phone: (248) 360-1200
Fax: (248) 360-6182

The provider's authorized official is Jack Weiner .
The authorized official title is Ceo and has the following contact phone number (248) 858-3140.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes
2207R00000XInternal MedicineX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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