Organization
DETROIT OSTEOPATHIC HOSPITAL CORPORATION
Active
Parent organization
DETROIT OSTEOPATHIC HOSPITAL CORPORATION
Other names
Henry Ford Macomb Hospital - Warren Campus
Organization subpart
Yes
Provider details
NPI number
Legal business name
DETROIT OSTEOPATHIC HOSPITAL CORPORATION
Authorized official
GARY W. POPIEL (CEO)
(586) 759-7500
Entity
Organization
Contact information
Practice address
13355 E 10 MILE RD, WARREN, MI 48089-2048
(586) 759-7480
(586) 759-7479
Mailing address
13355 E 10 MILE RD, WARREN, MI 48089-2048
(586) 759-7480
(586) 759-7479
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430E062130
BCBS
MI
01
—
610522900
USDOL
MI
01
—
7058051
AETNA
MI
01
—
NC0003776
MCARE
MI
Enumeration date
06/14/2006
Last updated
06/11/2008
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