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Organization
ST. JOHN PROVIDENCE HEALTH SYSTEM
Active
Organization
ST. JOHN PROVIDENCE HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN KELEL (MANAGER)
(586) 753-0054
Entity
Organization
Contact information
Practice address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(586) 753-0054
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
MI
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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