Whalio Doctors

NPI 1881891372

Providence Hospital

Organisation Chronic Disease Hospital Southfield, MI

Practice location

Address
16400 N Park Dr APT 1008, Southfield, MI 48075-4728
Phone
(248) 835-7259
Mailing address
16400 N.Park Drive Apt.1008, Southfield, MI 48075

Authorised official

Name
Gary G Otsuji
Title
Programdirector
Phone
(248) 849-3447

Registered specialties

Chronic Disease Hospital Primary
Hospitals Taxonomy 281P00000X

Registry record

NPI
1881891372
Entity type
Organization
NPI issued
28 Jun 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.