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
MARK SMITH CFO (SVP, CMO)
(517) 205-6407
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) 841-6917
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
MI
Other
Enumeration date
11/29/2006
Last updated
03/06/2024
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