NPI 1881891372
Providence Hospital
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
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.