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Organization
ST. JOHN HOSPITAL
Active
Organization
ST. JOHN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A. MARTENS (CRNA)
(313) 343-6864
Entity
Organization
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-6864
Mailing address
6266 WELLESLEY DR, WEST BLOOMFIELD, MI 48322-2370
(248) 538-7354
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4704190081
MI
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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