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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
MRS. KIM LEE MCCULLEN CNNP (NEONATAL NURSE PRACTITIONER)
(313) 343-3497
Entity
Organization
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-3497
(313) 417-2967
Mailing address
21183 KENMORE AVE, HARPER WOODS, MI 48225-1705
(313) 886-4257
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
4704207081
MI
Other
Enumeration date
01/11/2007
Last updated
02/24/2009
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