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
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