Organization
ST JOHN HOSPITAL AND MEDICAL CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN E MINNICK MD (MEDICAL DIRECTOR)
(313) 343-3875
Entity
Organization
Contact information
Practice address
22151 MOROSS RD, PBI STE.311, DETROIT, MI 48236-2167
(786) 218-8208
Mailing address
22151 MOROSS RD, PBI STE.311, DETROIT, MI 48236-2167
(786) 218-8208
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301096422
MI
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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