Organization
ST. JOHN PROVIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ERIN A DOPP MSN, CRNA (CRNA)
(586) 286-6967
Entity
Organization
Contact information
Practice address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(586) 753-0500
Mailing address
38221 FERNHILL CT, CLINTON TWP, MI 48038-3422
(586) 286-6967
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
89605
MI
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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