Organization
ST. JOHN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEBASTIAN J. LOPICCOLO (CRNA)
(313) 343-6864
Entity
Organization
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-6864
Mailing address
13186 PARTRIDGE RUN, SHELBY TOWNSHIP, MI 48315-6943
(586) 739-8984
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4704164373
MI
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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