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Organization
ST JOHN HEALTH SYSTEM OAKLAND
Active
Organization
ST JOHN HEALTH SYSTEM OAKLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVETTE N ELSENETY MD (DIRECTOR OF PATHOLOGY)
(248) 967-7750
Entity
Organization
Contact information
Practice address
27351 DEQUINDRE, MADISON HEIGHTS, MI 48071-3487
(248) 967-7750
(248) 967-7297
Mailing address
PO BOX 673062, DETROIT, MI 48267-3062
(248) 967-7750
(248) 967-7297
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
08/22/2020
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