NPI 1013649557

St Mary Mercy Hospital

Organisation Health Educator Livonia, MI

Practice location

Address: 36475 Five Mile Rd, Livonia, MI 48154-1971
Phone: (734) 655-4800
Mailing address: 20555 Victor Pkwy Mailstop 3a, Livonia, MI 48152-7031

Authorised official

Name: Michael Paul Gusho
Title: Regional Cfo
Phone: (231) 672-3886

Registered specialties (4)

Health Educator Primary

Other Service Providers Taxonomy 174H00000X

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Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X

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Registered Nurse

Nursing Service Providers Taxonomy 163W00000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Registry record

NPI: 1013649557
Entity type: Organization
NPI issued: 24 Jun 2022
Record last updated: 21 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.