# ST JOHN REGIONAL MEDICAL URGENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821120551
- **Authorized official:** MS. TOMASINE MARX (CFO)
- **Authorized official phone:** (313) 343-7676

## Contact information

- **Practice address:** 21000 E 12 MILE RD, STE 102, SAINT CLAIR SHORES, MI 48081-1116
- **Practice address phone:** (586) 753-0011
- **Mailing address:** 28000 DEQUINDRE RD, WARREN, MI 48092-2468
- **Mailing address phone:** (586) 753-0011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 12/02/2010
