# SAINT JOHN HOSPITAL & MEDICAL CENTER

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

## Provider details

- **NPI number:** 1275623514
- **Authorized official:** ANNA MAKARA (NURSE PRACTITIONER)
- **Authorized official phone:** (313) 343-4760

## Contact information

- **Practice address:** 22101 MOROSS RD, DETROIT, MI 48236-2148
- **Practice address phone:** (313) 343-4760
- **Mailing address:** 999 WHISTLER CRT, WINDSOR, ONTARIO N8P 1-L2
- **Mailing address phone:** (519) 735-5834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704185278 | MI | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 07/21/2022
