Bon Secours Place at St. Clair Shores
NPI #1629059563 in St Clair Shores, Michigan
Provider Information
- NPI Number
- 1629059563
- Entity Type
- Organization
- Organization Name
- Bon Secours Place at St. Clair Shores
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Nov 8, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 26101 JEFFERSON AVE
- City
- St Clair Shores
- State
- Michigan
- ZIP Code
- 48081-2348
- Phone
- (586) 498-4500
Authorized Official
- Name
- MS. GRETCHIN MAGER
- Title
- DIRECTOR
- Phone
- (586) 498-4501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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