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Organization
ST. JOHN HOSPITAL AND MEDICAL CENTER
Active
Organization
ST. JOHN HOSPITAL AND MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS SARAVOLATZ M.D. (/CHIEF/PROGRAM DIRECTOR)
(313) 343-7311
Entity
Organization
Contact information
Practice address
22201 MOROSS RD, PROFESSIONAL BUILDING TWO, SUITE 50, DETROIT, MI 48236-2169
(313) 343-7774
Mailing address
22201 MOROSS RD, PROFESSIONAL BUILDING TWO, SUITE 50, DETROIT, MI 48236-2169
(313) 343-7774
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
4301089471
MI
282N00000X
General Acute Care Hospital
Primary
4301089471
MI
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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