Organization
WA FOOTE MEMORIAL HOSPITAL
Active
Parent organization
WA FOOTE MEMORIAL HOSPITAL
Other names
ON HOLD
Organization subpart
Yes
Provider details
NPI number
Legal business name
WA FOOTE MEMORIAL HOSPITAL
Authorized official
JEANNE' WICKENS CFO (SENIOR VICE PRESIDENT OF FINANCE)
(517) 841-6979
Entity
Organization
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4800
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-2728
(517) 841-6913
(517) 841-9617
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
MI
Other
Enumeration date
05/22/2007
Last updated
05/14/2008
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