| Organization Name: | MERCY HEALTH PHYSICIANS-NORTH LLC |
| NPI Number: | 1184004962 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TODD WARNER (VICE PRESIDENT / ADMINISTRATION) |
| Mailing Address: | 7581 Secor Rd Lambertville |
| State: | MI US |
| Postal Code: | 481449624 |
| Phone Number: | 7348541800 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2015 |
| NPI Last Update Date: | 06/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |