| St. John Ob Clinic Mssp | |
|
22201 Moross Rd Ste 370 Detroit MI 48236-2169 | |
| (800) 848-0202 | |
| (586) 226-6949 |
| Full Name | St. John Ob Clinic Mssp |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 22201 Moross Rd, Detroit, Michigan |
| Authorized Official Name and Position | Sandra E Whitman (DIRECTOR) |
| Authorized Official Contact | 5862266823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. John Ob Clinic Mssp 43800 Garfield Rd Clinton Township MI 48038-1136 Ph: (800) 848-0202 | St. John Ob Clinic Mssp 22201 Moross Rd Ste 370 Detroit MI 48236-2169 Ph: (800) 848-0202 |
| NPI Number | 1215133632 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215133632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Michigan) | Primary |
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