Organization
ST JOHN HEALTH SYSTEM- DETROIT-MACOMB CAMPUS
Active
Other names
Macomb Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA WHITMAN (DIRECTOR)
(586) 226-6823
Entity
Organization
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5000
Mailing address
43800 GARFIELD RD, SUITE 200, CLINTON TOWNSHIP, MI 48038-1136
(800) 848-0202
(586) 226-6949
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
01/14/2008
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