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Organization

ST JOHN OAKLAND HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANNE THERESE VIRGONA LMSW (PSYCHIATRIC SOCIAL WORKER)
(248) 967-7434
Entity
Organization

Contact information

Practice address
27351 DEQUINDRE, MADISON HGTS, MI 48071
(248) 967-7000
Mailing address
27351 DEQUINDRE RD, MADISON HTS, MI 48071-3487
(248) 967-7000

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
6801085127
MI

Other

Enumeration date
05/12/2008
Last updated
05/12/2008
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