| St John Hosptial And Medical Center | |
|
22101 Moross Rd Detroit MI 48236-2148 | |
| (313) 343-4000 | |
| Not Available |
| Full Name | St John Hosptial And Medical Center |
|---|---|
| Speciality | Psychologist |
| Location | 22101 Moross Rd, Detroit, Michigan |
| Authorized Official Name and Position | Christopher J Palazzolo (VP FINANCE) |
| Authorized Official Contact | 3133433558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St John Hosptial And Medical Center 28000 Dequindre Rd Warren MI 48092-2468 Ph: (586) 753-0260 | St John Hosptial And Medical Center 22101 Moross Rd Detroit MI 48236-2148 Ph: (313) 343-4000 |
| NPI Number | 1972762417 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972762417 | NPI | - | NPPES |
| H260650 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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