Organization
SINAI GRACE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA BUTCHER (CFO)
(313) 966-4265
Entity
Organization
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-2026
Mailing address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-2026
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40069
BCBSM
MI
Enumeration date
04/25/2011
Last updated
03/22/2022
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