Organization · Type 2 NPI

Mercy Physician Network

Family Medicine Physician · Fruitport, MI

NPI number 1639502701 Active

Practice location

3443 Farr Rd
Fruitport, MI 49415-8779

Call (231) 672-2900 Map

Fax (231) 672-2901

Mailing address

PO Box 1848
Muskegon, MI 49443-1848

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Physician Assistant	363A00000X	None listed
Nurse Practitioner	363L00000X	None listed
Student in an Organized Health Care Education/Training Program	390200000X	None 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.

33 other providers at this address

Other family medicine physician providers in Fruitport

See all in Fruitport →

NPI record

NPI: 1639502701
Entity type: Organization (Type 2)
Issued: Aug 13, 2013
Last updated: Feb 3, 2015
Status: Active
Subpart: Yes of Mercy Health Partners

Other names

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Fruitport Family Medicine · doing business as

Authorized official

Michelle Lohman
Regional Director Phy Rev Cycle
(231) 727-4499

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639502701

Mercy Physician Network's National Provider Identifier is 1639502701, issued on Aug 13, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fruitport, MI. The record was last updated on Feb 3, 2015.