Organization
ST. JOHN MACOMB HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDOLPH KUMMLER (V.P. - FINANCE)
(586) 573-5910
Entity
Organization
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5000
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(586) 753-0340
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
06/23/2008
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