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Organization

PROVIDENCE HOSPITAL

Active
Other names
PH Infusion
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA WHITMAN (DIRECTOR PHYSICIAN BILLING SERVICES)
(248) 746-3218
Entity
Organization

Contact information

Practice address
16001 W 9 MILE RD, INFUSION DEPT, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
25925 TELEGRAPH RD, SOUTHFIELD, MI 48033-2518

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
05/06/2008
Last updated
05/06/2008
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