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Organization
ST. JOSEPH MEDICAL CENTER PC
Active
Organization
ST. JOSEPH MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASOK ROY M.D. (OWNER)
(313) 867-2300
Entity
Organization
Contact information
Practice address
17950 WOODWARD AVE, DETROIT, MI 48203-2260
(313) 867-2300
(313) 867-0467
Mailing address
17950 WOODWARD AVE, DETROIT, MI 48203-2260
(313) 867-2300
(313) 867-0467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
10/05/2006
Last updated
02/16/2011
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