NPI 1326264250
Providence Hospital
Practice location
- Address
- 16001 W 9 Mile Rd, Southfield, MI 48075-4818
- Phone
- (248) 849-2203
Authorised official
- Name
- Peter Michael Rydesky
- Title
- Resident
- Phone
- (248) 849-3216
Registered specialties
General Acute Care Hospital
Primary
Registry record
- NPI
- 1326264250
- Entity type
- Organization
- NPI issued
- 18 Apr 2007
- Record last updated
- 22 Aug 2020
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.