Organization
CORNERSTONE MEDICAL GROUP
Active
Other names
St John Weight Loss Institute
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL HUNSBERGER (C.A.O.)
(586) 226-6937
Entity
Organization
Contact information
Practice address
43750 GARFIELD RD, SUITE 104, CLINTON TWP, MI 48038-1135
(586) 226-6865
(586) 226-6880
Mailing address
45660 SCHOENHERR RD, SHELBY TOWNSHIP, MI 48315-6033
(586) 226-6843
(586) 566-3068
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
932504
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N55210
MEDICARE
MI
Enumeration date
02/08/2008
Last updated
02/08/2008
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