Organization
ST. JOHN MACOMB HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINGAREDDY DEVIREDDY M.D. (CHIEF OF CARDIOLOGY)
(586) 574-0890
Entity
Organization
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5512
(586) 573-5148
Mailing address
25320 RONALD CT, OAK PARK, MI 48237-1327
(248) 543-3063
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
5601003607
MI
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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