St John Hospital Corporation
St John Hospital Corporation provides Surgery Physician services in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
22101 Moross RdDetroit, MI 48236-2148 Not confirmed with CMS for 18 years — call before visiting
Phone: (586) 228-4635
Fax: (586) 228-4520
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X (MI) |
|---|---|
| Pediatric Surgery Physician | Taxonomy 2086S0120X (MI) |
Record details
| NPI number | 1598713414 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sandra Whitman — Director, Physician Billing Service · (248) 746-5822 |
| Other names | Sjh Surgery Group |
| NPI enumerated | May 4, 2006 |
| Last updated in NPPES | October 12, 2007 |
| Mailing address | 43800 Garfield Rd, Suite 201, Clinton Twp, MI 48038-1136 |
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