NPI 1205986411
St. John Hospital and Medical Center
Practice location
- Address
- 22101 Moross Rd, Detroit, MI 48236-2148
- Phone
- (313) 343-3497
- Fax
- (313) 417-2967
- Mailing address
- 21183 Kenmore Ave, Harper Woods, MI 48225-1705
Authorised official
- Name
- Kim Lee McCullen
- Title
- Neonatal Nurse Practitioner
- Phone
- (313) 343-3497
Registered specialties
Long Term Care Hospital
Primary
Registry record
- NPI
- 1205986411
- Entity type
- Organization
- NPI issued
- 11 Jan 2007
- 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.