# ST JOHN MEDICAL CENTER MACOMB TOWNSHIP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083746820
- **Authorized official:** MS. TOMASINE MARX (CFO)
- **Authorized official phone:** (313) 343-7676

## Contact information

- **Practice address:** 17700 23 MILE RD, MACOMB, MI 48044-1154
- **Practice address phone:** (586) 753-0011
- **Mailing address:** 28000 DEQUINDRE RD, WARREN, MI 48092-2468
- **Mailing address phone:** (586) 753-0011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 12/03/2010