Organization
ST JOHN HOSPITAL AND MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER J PALAZZOLO (VP FINANCE)
(313) 343-3558
Entity
Organization
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(586) 753-0260
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207U00000X
Nuclear Medicine Physician
Primary
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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