NPI 1144460676

St John Hospital and Medical Center

Organisation Anesthesiologist Assistant Detroit, MI

Practice location

Address: 22101 Moross Rd, Detroit, MI 48236-2148
Phone: (586) 753-0011
Mailing address: 28800 Dequindre Rd, Warren, MI 48092-2466

Authorised official

Name: Susan Field
Title: Sr Director
Phone: (586) 753-0011

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X

Other Anesthesiologist Assistant providers in Michigan →

Registry record

NPI: 1144460676
Entity type: Organization
NPI issued: 24 Feb 2009
Record last updated: 24 Feb 2009

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.