Organization
ST. JOHN OAKLAND HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE THERESE VIRGONA LMSW (PSYCHIATRIC SOCIAL WORKER)
(248) 967-7434
Entity
Organization
Contact information
Practice address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(248) 967-7434
Mailing address
3423 AQUARIOUS CIR, OAKLAND, MI 48363-2715
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
6801085127
MI
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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