Organization · Type 2 NPI

Mercy Health - ST Vincent Medical Center LLC

Cardiovascular Disease Physician · Dundee, MI

NPI number 1760649925 Active

Practice location

100 Powell Dr, Suite 4
Dundee, MI 48131-8644

Call (419) 251-2673 Map

Mailing address

2200 Jefferson Ave, 4th Floor
Toledo, OH 43604-7101

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Otology & Neurotology Physician	207YX0901X	None listed
Pediatric Gastroenterology Physician	2080P0206X	None listed
Surgery Physician	208600000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

36 other providers at this address

NPI record

NPI: 1760649925
Entity type: Organization (Type 2)
Issued: May 16, 2008
Last updated: Jan 25, 2022
Status: Active

Other names

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St. Vincent Specialty Outreach · doing business as
St. Vincent Specialty Outreach · doing business as

Authorized official

Samantha Plazke
CFO- Senior VP
(419) 251-2673

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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 1760649925

Mercy Health - ST Vincent Medical Center LLC's National Provider Identifier is 1760649925, issued on May 16, 2008. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Dundee, MI. The record was last updated on Jan 25, 2022.