St John Hospital and Medical Center

NPI #1801198387 in Macomb, Michigan

Provider Information

NPI Number: 1801198387
Entity Type: Organization
Organization Name: St John Hospital and Medical Center
Primary Specialty: Clinic/Center - Ambulatory Surgical
Enumeration Date: Dec 3, 2010
Last Updated: Mar 28, 2011

Practice Location

Address: 17700 23 MILE RD
Address 2: STE 200
City: Macomb
State: Michigan
ZIP Code: 48044-1154
Phone: (586) 753-0011

Authorized Official

Name: TOMASINE MARX
Title: CFO
Phone: (313) 343-7676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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