Organization
ST JOHN HEALTH
Active
Parent organization
PROVIDENCE
Other names
St John Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE
Authorized official
DR. ANITA CHAROCHAK D.O (DIRECTOR)
(248) 849-7080
Entity
Organization
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-7080
Mailing address
380 MARIGOLD CIR, WESTLAND, MI 48185-9633
(734) 721-7282
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4704216215
MI
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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