Organization
ST JOHN MACOMB OAKLAND HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH KUMMLER (VP FINANCE)
(586) 573-5910
Entity
Organization
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5000
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E061220
BLUE CROSS
—
Enumeration date
05/20/2008
Last updated
10/16/2008
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