Organization
PROVIDENCE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY A KLANN (SUPERVISOR)
(248) 465-4403
Entity
Organization
Contact information
Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 465-4249
Mailing address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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