NPI 1013174655

St John Macomb Oakland Hospital

Organisation Anatomic Pathology & Clinical Pathology Physician Detroit, MI

Practice location

Address: 7733 E Jefferson Ave, Detroit, MI 48214-3707
Phone: (313) 499-4000
Mailing address: 28000 Dequindre Rd, Warren, MI 48092-2468

Authorised official

Name: Randolph Krummler
Title: Vp Finance
Phone: (586) 573-5910

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X

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Registry record

NPI: 1013174655
Entity type: Organization
NPI issued: 21 May 2008
Record last updated: 21 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.