Organization
BON SECOURS PLACE AT ST. CLAIR SHORES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRETCHIN MAGER (DIRECTOR)
(586) 498-4501
Entity
Organization
Contact information
Practice address
26101 JEFFERSON AVE, ST CLAIR SHORES, MI 48081-2348
(586) 498-4500
(586) 498-4599
Mailing address
26101 JEFFERSON AVE, ST CLAIR SHORES, MI 48081-2348
(586) 498-4500
(586) 498-4599
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
11/08/2005
Last updated
08/22/2020
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