# SAINT JOSEPH CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAINT JOSEPH CLINIC PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285974790
- **Legal business name:** SAINT JOSEPH CLINIC PC
- **Authorized official:** MR. SRINIVASULU REDDY (ADMINISTRATOR)
- **Authorized official phone:** (248) 809-6402

## Contact information

- **Practice address:** 23077 GREENFIELD RD, SUITE\#240, SOUTHFIELD, MI 48075-3709
- **Practice address phone:** (248) 809-6402
- **Practice address fax:** (248) 537-3012
- **Mailing address:** 23077 GREENFIELD RD, SUITE\#240, SOUTHFIELD, MI 48075-3709
- **Mailing address phone:** (248) 809-6402
- **Mailing address fax:** (248) 537-3012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2013
- **Last updated:** 02/20/2013