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St John Hospital Corporation
Pediatric Surgery Physician in Detroit, Michigan
NPI 1598713414

St John Hospital Corporation is a Pediatric Surgery Physician based in Clinton Twp, MI and is specialized in Pediatric Surgery. St John Hospital Corporation practices in Detroit, MI. The NPI Number for St John Hospital Corporation is 1598713414 and holds a License No. (Michigan).

The current practice location address for St John Hospital Corporation is 22101 Moross Rd, Detroit, MI and can be reached out via phone at 586-228-4635 and via fax at 586-228-4520.

Location: 22101 Moross Rd, Detroit, MI, 48038-1136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598713414
Provider Name
St John Hospital Corporation
Credential
Provider Entity Type
Organization
Address
22101 Moross Rd, Detroit, MI, 48038-1136
Phone Number
586-228-4635
Fax Number
586-228-4520
Provider Enumeration Date
05/04/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OQ245330 01 MI BCBSM SURGERY GROUP
institution
Provider Business Practice Location Address Details
Address
22101 Moross Rd
City
Detroit
State
Michigan
Zip
48236-2148
Phone Number
586-228-4635
Fax Number
586-228-4520
person
Provider Business Mailing Address Details
Address
22101 Moross Rd
City
Detroit
State
Michigan
Zip
48236-2148
Phone Number
586-228-4635
Fax Number
586-228-4520
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
(Michigan)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
2086S0120X
License No.
(Michigan)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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