St. John Health System Oakland
NPI #1437187903 in Madison Heights, Michigan
Provider Information
- NPI Number
- 1437187903
- Entity Type
- Organization
- Organization Name
- St. John Health System Oakland
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ST. JOHN HEALTH SYSTEM OAKLAND
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jun 30, 2006
- Last Updated
- Sep 19, 2007
Practice Location
- Address
- 27351 DEQUINDRE RD
- City
- Madison Heights
- State
- Michigan
- ZIP Code
- 48071-3487
- Phone
- (810) 753-0185
Authorized Official
- Name
- JENNIFER FENNELL
- Title
- AUTHORIZED OFFICIAL
- Phone
- (810) 753-0185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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