NPI 1043424690
St Joseph Mercy Hospital
Practice location
- Address
- 2200 N Canton Center Rd Suite 200b, Canton, MI 48187-5065
- Phone
- (734) 981-3800
- Mailing address
- 34505 W 12 Mile Rd STE 200, Farmington Hills, MI 48331-3286
Authorised official
- Name
- Michael P Gusho
- Title
- Cfo SE Mi Region
- Phone
- (248) 858-6174
Registered specialties (6)
Psychiatry Physician
Primary
Psychologist
Clinical Psychologist
Prescribing (Medical) Psychologist
Clinical Social Worker
Marriage & Family Therapist
Registry record
- NPI
- 1043424690
- Entity type
- Organization
- NPI issued
- 10 May 2007
- Record last updated
- 5 Oct 2017
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.