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Organization
ASCENSION ST JOHN HOSPITAL
Active
Organization
ASCENSION ST JOHN HOSPITAL
Active
Other names
Newland Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LYNN STARKEL (CREDENTIALING COORDINATOR)
(248) 680-8121
Entity
Organization
Contact information
Practice address
22301 FOSTER WINTER DR, 2N FLOOR, SOUTHFIELD, MI 48075-3707
(248) 552-0620
(248) 557-3398
Mailing address
22301 FOSTER WINTER DR, 2ND FLOOR, SOUTHFIELD, MI 48075-3707
(248) 552-0620
(248) 557-3398
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
MI
207RI0200X
Infectious Disease Physician
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F39573
BLUE CROSS
MI
Enumeration date
03/29/2011
Last updated
12/10/2018
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