Providence Hospital
NPI #1548486681 in Grass Lake, Michigan
Provider Information
- NPI Number
- 1548486681
- Entity Type
- Organization
- Organization Name
- Providence Hospital
- Primary Specialty
- General Acute Care Hospital
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 10508 KEANE DR
- City
- Grass Lake
- State
- Michigan
- ZIP Code
- 49240-8803
- Phone
- (517) 522-4451
Authorized Official
- Name
- DR. VIJAY MITTAL
- Title
- PROGRAM DIRECTOR
- Phone
- (248) 849-3073
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
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