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St John Providence Eastwood Clinic
Clinic/Center in Detroit, Michigan
NPI 1558619510

St John Providence Eastwood Clinic is a Clinic/Center based in Detroit, MI. St John Providence Eastwood Clinic practices in Detroit, MI. The NPI Number for St John Providence Eastwood Clinic is 1558619510 and holds a License No. (Michigan).

The current practice location address for St John Providence Eastwood Clinic is 4777 E Outer Dr Ste 1105, Detroit, MI and can be reached out via phone at 313-369-5508.

Location: 4777 E Outer Dr Ste 1105, Detroit, MI, 48234-3241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558619510
Provider Name
St John Providence Eastwood Clinic
Credential
Provider Entity Type
Organization
Address
4777 E Outer Dr Ste 1105, Detroit, MI, 48234-3241
Phone Number
313-369-5508
Fax Number
Provider Enumeration Date
08/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4777 E Outer Dr Ste 1105
City
Detroit
State
Michigan
Zip
48234-3241
Phone Number
313-369-5508
Fax Number
person
Provider Business Mailing Address Details
Address
4777 E Outer Dr Ste 1105
City
Detroit
State
Michigan
Zip
48234-3241
Phone Number
313-369-5508
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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