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Organization
SAINT JOSEPH CLINIC PC
Active
Organization
SAINT JOSEPH CLINIC PC
Active
Parent organization
SAINT JOSEPH CLINIC PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT JOSEPH CLINIC PC
Authorized official
MR. SRINIVASULU REDDY (ADMINISTRATOR)
(248) 809-6402
Entity
Organization
Contact information
Practice address
23077 GREENFIELD RD, SUITE#240, SOUTHFIELD, MI 48075-3709
(248) 809-6402
(248) 537-3012
Mailing address
23077 GREENFIELD RD, SUITE#240, SOUTHFIELD, MI 48075-3709
(248) 809-6402
(248) 537-3012
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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