Providence Hospital
NPI #1881891372 in Southfield, Michigan
Provider Information
- NPI Number
- 1881891372
- Entity Type
- Organization
- Organization Name
- Providence Hospital
- Primary Specialty
- Chronic Disease Hospital
- Enumeration Date
- Jun 28, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 16400 N PARK DR APT 1008
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075-4728
- Phone
- (248) 835-7259
Authorized Official
- Name
- GARY G OTSUJI, M.D.
- Title
- PROGRAMDIRECTOR
- Phone
- (248) 849-3447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chronic Disease Hospital |
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