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Organization
ST. JOHN HEALTH SYSTEM / OAKLAND GENERAL HOSPITAL
Active
Organization
ST. JOHN HEALTH SYSTEM / OAKLAND GENERAL HOSPITAL
Active
Other names
Oakland Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA WHITMAN (DIRECTOR)
(586) 226-6838
Entity
Organization
Contact information
Practice address
27472 SCHOENHERR RD, SUITE 130, WARREN, MI 48088-6688
(586) 582-7550
(586) 582-7515
Mailing address
43800 GARFIELD RD, SUITE 200, CLINTON TOWNSHIP, MI 48038-1136
(586) 228-4652
(586) 228-4520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
MI
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
MI
207QA0505X
Adult Medicine Physician
—
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
MI
207R00000X
Internal Medicine Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01235
BCBSM GROUP NUMBER
MI
Enumeration date
10/16/2006
Last updated
09/11/2025
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