St. John Hospital And Medical Center | |
22101 Moross Rd Detroit MI 48236-2148 | |
(586) 753-0011 | |
Not Available |
Full Name | St. John Hospital And Medical Center |
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Speciality | Clinic/center |
Location | 22101 Moross Rd, Detroit, Michigan |
Authorized Official Name and Position | Christopher J Palazzolo (V.P. - FINANCE) |
Authorized Official Contact | 3133433558 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. John Hospital And Medical Center 28000 Dequindre Rd Warren MI 48092-2468 Ph: (586) 753-0011 | St. John Hospital And Medical Center 22101 Moross Rd Detroit MI 48236-2148 Ph: (586) 753-0011 |
NPI Number | 1013048974 |
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Provider Enumeration Date | 03/09/2007 |
Last Update Date | 02/24/2009 |
Identifier | Type | State | Issuer |
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1013048974 | NPI | - | NPPES |
0Q24570 | Other | MI | BCBSM PIN |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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