St John Hospital and Medical Center
NPI #1780854174 in Saint Clair Shores, Michigan
Provider Information
- NPI Number
- 1780854174
- Entity Type
- Organization
- Organization Name
- St John Hospital and Medical Center
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 3, 2008
- Last Updated
- Mar 3, 2008
Practice Location
- Address
- 24911 LITTLE MACK AVE
- Address 2
- SUITE C
- State
- Michigan
- ZIP Code
- 48080-3200
- Phone
- (586) 447-9081
Authorized Official
- Name
- DR. KENNETH BOLLIN, M.D.
- Title
- CHIEF OF THE DEPARTMENT OF FM
- Phone
- (586) 447-9081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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