Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ascension St John Hospital

Organization Neurology Physician · NPI 1023149473

Ascension St John Hospital is a Neurology Physician in Detroit, Michigan. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (586) 753-0011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1023149473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Palazzolo — V.P. - Finance · (313) 343-3558
NPI enumeratedMarch 8, 2007
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020
Mailing address28000 Dequindre Rd, Warren, MI 48092-2468

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