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Organization

ST JOHN ANESTHESIOLOGISTS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN V. MORREALE M.D. (AUTHORIZED OFFICIAL)
(313) 417-0226
Entity
Organization

Contact information

Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
06/19/2006
Last updated
05/13/2026
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