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Organization
ST. JOHN HOSPITAL AND MEDICAL CENTER
Active
Organization
ST. JOHN HOSPITAL AND MEDICAL CENTER
Active
Other names
Medical Resources Group Nurse Practitioners
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JOHNSON (DIRECTOR)
(248) 680-8206
Entity
Organization
Contact information
Practice address
2800 LIVERNOIS RD, SUITE 500, TROY, MI 48083-1215
(248) 680-8000
(248) 680-8031
Mailing address
2800 LIVERNOIS RD, SUITE 500, TROY, MI 48083-1215
(248) 680-8000
(248) 680-8031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
MI
Other
Enumeration date
07/01/2010
Last updated
01/26/2016
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