Organization
ST. JOHN HEALTH SYSTEM OAKLAND
Active
Organization
ST. JOHN HEALTH SYSTEM OAKLAND
Active
Parent organization
ST. JOHN HEALTH SYSTEM OAKLAND
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. JOHN HEALTH SYSTEM OAKLAND
Authorized official
JENNIFER FENNELL (AUTHORIZED OFFICIAL)
(810) 753-0185
Entity
Organization
Contact information
Practice address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(810) 753-0185
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
09/19/2007
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