Ascension St. John Hospital

NPI #1295290443 in Detriot, Michigan

Provider Information

NPI Number: 1295290443
Entity Type: Organization
Organization Name: Ascension St. John Hospital
Subpart: Yes (part of a larger organization)
Parent Organization: ASCENSION ST. JOHN HOSPITAL
Primary Specialty: Dietitian, Registered
Enumeration Date: Feb 1, 2019
Last Updated: Feb 1, 2019

Practice Location

Address: 22201 MOROSS, STE. 270
City: Detriot
State: Michigan
ZIP Code: 48236
Phone: (313) 343-3481

Authorized Official

Name: JULIE JOHANNSEN-WILK, RD
Title: REGISTERED CLINICAL DIETICIAN
Phone: (313) 343-3481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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