Organization
ST JOHN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA MARIE KRASKA (CRNA)
(313) 343-4766
Entity
Organization
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4766
Mailing address
3151 ELPHIN DR, STERLING HEIGHTS, MI 48310-1737
(586) 871-7190
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4704159496
MI
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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