Organization
DETROIT-MACOMB HOSPITAL CORPORATION
Active
Other names
St. John Riverview Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ELLEN WHITMAN (DIRECTOR PHYSICIAN SERVICES)
(248) 746-5822
Entity
Organization
Contact information
Practice address
7815 E. JEFFERSON, DETROIT, MI 48214
(313) 499-4170
(313) 499-4911
Mailing address
43800 GARFIELD, 201, CLINTON TOWNSHIP, MI 48038
(586) 228-4635
(586) 228-4520
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OH225770
BCBSM GRP CNM
MI
Enumeration date
03/15/2007
Last updated
08/22/2020
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