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Organization

ST JOHN PROVIDENCE HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PRADEEP SETTY D.O. (RESIDENT PHYSICIAN)
(248) 505-8905
Entity
Organization

Contact information

Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3403
Mailing address
16001 W NINE MILE ROAD, SOUTHFIELD, MI 48075
(248) 849-3403

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
10/18/2010
Last updated
10/18/2010
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