Organization
ASCENSION ST. JOHN HOSPITAL
Active
Parent organization
ASCENSION ST. JOHN HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION ST. JOHN HOSPITAL
Authorized official
JULIE JOHANNSEN-WILK RD (REGISTERED CLINICAL DIETICIAN)
(313) 343-3481
Entity
Organization
Contact information
Practice address
22201 MOROSS, STE. 270, DETRIOT, MI 48236
(313) 343-3481
(313) 343-7937
Mailing address
22201 MOROSS, STE. 270, DETRIOT, MI 48236
(313) 343-3481
(313) 343-7937
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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