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Organization
ST JOHN PROVIDENCE
Active
Organization
ST JOHN PROVIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS SARAVOLATZ MD (CHIEF OF MEDICINE)
(313) 343-7280
Entity
Organization
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4301097202
MI
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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