# ST JOHN MACOMB-OAKLAND HOSPITAL

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

## Provider details

- **NPI number:** 1902817620
- **Authorized official:** WILLIAM DARROCH (MANAGER, FINANCE)
- **Authorized official phone:** (586) 753-0305

## Contact information

- **Practice address:** 11800 E 12 MILE RD, ER DEPARTMENT, WARREN, MI 48093-3472
- **Practice address phone:** (586) 573-5028
- **Mailing address:** PO BOX 673898, DETROIT, MI 48267-3898
- **Mailing address phone:** (800) 531-5788
- **Mailing address fax:** (586) 296-1143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 06/02/2009