Organization
DETROIT MACOMB HOSPITAL CORPORATION
Active
Organization
DETROIT MACOMB HOSPITAL CORPORATION
Active
Other names
St. John Detroit Riverview Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MUNROE (PRESIDENT)
(313) 499-4108
Entity
Organization
Contact information
Practice address
7733 E JEFFERSON AVE, DETROIT, MI 48214-3707
(313) 499-4254
Mailing address
7733 E JEFFERSON AVE, DETROIT, MI 48214-3707
(313) 499-4254
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7853578
AETNA CRNAS
MI
01
—
AN820017
MCARE ANESTHESIOLOGISTS
MI
01
—
AN820023
MCARE CRNAS
MI
Enumeration date
06/15/2006
Last updated
09/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up