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Organization

ST JOHN HEALTH SYSTEM DETROIT MACOMB CAMPUS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE PRESSLEY CAPERS (VICE PRESIDENT)
(313) 499-4100
Entity
Organization

Contact information

Practice address
7733 E JEFFERSON AVE, DETROIT, MI 48214
(313) 499-4160
Mailing address
44000 GARFIELD ROAD, CLINTON TWP, MI 48038-1125
(586) 412-4000
(586) 412-4102

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
12/01/2006
Last updated
01/22/2008
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