Organization
BON SECOURS COTTAGE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY COLLINS (CEO)
(313) 343-1000
Entity
Organization
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 343-1684
Mailing address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 343-1684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BS820005
MCARE
MI
Enumeration date
06/07/2006
Last updated
08/22/2020
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