Organization · Type 2 NPI

ST Joseph Mercy Hospital

Family Medicine Physician · Ypsilanti, MI

NPI number 1114045960 Active

Practice location

111 N Huron St, Suite 203
Ypsilanti, MI 48197-2676

Mailing address

34505 W 12 Mile Rd Ste 200
Farmington Hills, MI 48331-3286

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Hematology & Oncology Physician 207RH0003XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Gynecology Physician 207VG0400XNone listed
Gynecologic Oncology Physician 207VX0201XNone listed
Pediatrics Physician 208000000XNone listed
Medical Physician Assistant 363AM0700XNone listed
Nurse Practitioner 363L00000XNone listed
Obstetrics & Gynecology Nurse Practitioner 363LX0001XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10 other providers at this address

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About NPI 1114045960

ST Joseph Mercy Hospital's National Provider Identifier is 1114045960, issued on Mar 27, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Ypsilanti, MI. The record was last updated on May 4, 2026.