St John Health System- Detroit-macomb Campus

NPI 1174549018 - Surgery - 208600000X

NPI Details
NPI 1174549018
Enumeration Date 07/14/2006
Last Updated 01/14/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SANDRA SANDRA
Position DIRECTOR
Phone (586) 573-5000
Fax
Practice Location
11800 E 12 MILE RD
WARREN MI, 48093-3472, US
Phone (586) 573-5000
Fax
Business Location
43800 GARFIELD RD
SUITE 200
CLINTON TOWNSHIP MI, 48038-1136, US
Phone (800) 848-0202
Fax (586) 226-6949
Toxanomy
Taxonomy Code 208600000X
License State
License Number
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According to our database, St John Health System- Detroit-macomb Campus NPI is 1174549018, taxonomy code is 208600000X St John Health System- Detroit-macomb Campus physically located at 11800 E 12 Mile Rd, Warren MI, 48093-3472. NPI Number 1033115704 has the healthcare provider type.

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1174549018 NPI number is provided on an as is basis without warranty of any kind. 1174549018 is maintained by the National Plan & Provider Enumeration System. The contents of St John Health System- Detroit-macomb Campus are for informational purposes only.