Organization
SJMH MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK WEINER (CEO)
(248) 858-3140
Entity
Organization
Contact information
Practice address
44555 WOODWARD AVE, SUITE 105, PONTIAC, MI 48341-5031
(248) 858-6773
(248) 858-3921
Mailing address
44428 WOODWARD AVE, LOWER LEVEL, PONTIAC, MI 48341-5009
(248) 858-6144
(248) 858-6232
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
—
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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