Ascension St John Hospital

NPI #1043478910 in Harrison Township, Michigan

Provider Information

NPI Number: 1043478910
Entity Type: Organization
Organization Name: Ascension St John Hospital
Primary Specialty: Podiatrist
Enumeration Date: May 28, 2008
Last Updated: Dec 12, 2018

Practice Location

Address: 26755 BALLARD ST
City: Harrison Township
State: Michigan
ZIP Code: 48045-2419
Phone: (584) 655-5501

Authorized Official

Name: CHRISTOPHER J PALAZZOLO
Title: VP FINANCE
Phone: (313) 343-3558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Podiatrist	213E00000X	Primary

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