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Organization
SJMH MEDICAL PRACTICE
Active
Organization
SJMH MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK WEINER (CEO)
(248) 858-3140
Entity
Organization
Contact information
Practice address
44405 WOODWARD AVE, SUITE 202, PONTIAC, MI 48341-5023
(248) 858-2270
(248) 335-6171
Mailing address
44405 WOODWARD AVE, SUITE 202, PONTIAC, MI 48341-5023
(248) 858-2270
(248) 335-6171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
09/05/2006
Last updated
09/11/2025
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