Organization
ST.JOHN HOSPITAL & MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA ABDULLAH ALFARES M.D. (RESIDENT)
(312) 823-7637
Entity
Organization
Contact information
Practice address
19251 MACK AVE STE 335, GROSSE POINTE WOODS, MI 48236-2895
(312) 823-7637
Mailing address
19251 MACK AVE STE 335, GROSSE POINTE WOODS, MI 48236-2895
(312) 823-7637
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
L1598766
MI
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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