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St John Hospital And Medical Center
Foot & Ankle Surgery Podiatrist in Detroit, Michigan
NPI 1346488863

St John Hospital And Medical Center is a Foot & Ankle Surgery Podiatrist based in Warren, MI and is specialized in Foot & Ankle Surgery. St John Hospital And Medical Center practices in Detroit, MI. The NPI Number for St John Hospital And Medical Center is 1346488863 and holds a License No. (Michigan).

The current practice location address for St John Hospital And Medical Center is 22101 Moross Rd, Detroit, MI and can be reached out via phone at 586-753-0011.

Location: 22101 Moross Rd, Detroit, MI, 48092-2468
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346488863
Provider Name
St John Hospital And Medical Center
Credential
Provider Entity Type
Organization
Address
22101 Moross Rd, Detroit, MI, 48092-2468
Phone Number
586-753-0011
Fax Number
Provider Enumeration Date
01/22/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4855056200 01 BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
22101 Moross Rd
City
Detroit
State
Michigan
Zip
48236-2148
Phone Number
586-753-0011
Fax Number
person
Provider Business Mailing Address Details
Address
22101 Moross Rd
City
Detroit
State
Michigan
Zip
48236-2148
Phone Number
586-753-0011
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
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