Organization
HARPER HUTZEL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN PATRICK SMITH VICE PRESIDENT (VICE PRESIDENT FINANCE)
(313) 745-9375
Entity
Organization
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-9375
(313) 745-1520
Mailing address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-9375
(313) 745-1520
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Q26172
BCBSM
MI
05
—
4596419
—
MI
Enumeration date
06/07/2007
Last updated
08/22/2020
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