Organization · Type 2 NPI
Mercy Physician Network
Primary Care Clinic/Center · Prudenville, MI
NPI number
1083965404
Active
Practice location
2585 W Houghton Lake Drive
Prudenville, MI 48651
Fax (989) 366-1166
Mailing address
2585 W Houghton Lake Dr
Prudenville, MI 48651-9624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 4704226766 (MI) |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Prudenville
About NPI 1083965404
Mercy Physician Network's National Provider Identifier is 1083965404, issued on Sep 25, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Prudenville, MI. The record was last updated on Sep 25, 2012.