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Organization
ST JOHN HOSPITAL CORPORATION
Active
Organization
ST JOHN HOSPITAL CORPORATION
Active
Other names
SJH Physician Assistant Group
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA E WHITMAN (DIRECTOR, PHYSICIAN BILLING SERVICE)
(248) 746-5822
Entity
Organization
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(586) 228-4635
(586) 228-4520
Mailing address
43800 GARFIELD RD, STE 200, CLINTON TOWNSHIP, MI 48038-1136
(586) 228-4635
(586) 228-4520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
11/13/2006
Last updated
10/12/2007
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