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Organization

ST JOHN HOSPITAL AND MEDICAL CENTER

Active
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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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