Organization
ST. JOHN PROVIDENCE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT FLORA M.D. (MEDICAL EDUCATION DIRECTOR)
(248) 424-3216
Entity
Organization
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(765) 749-9934
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4301107660
MI
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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