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

St John Health System- Detroit-Macomb Campus

Organization Surgery Physician · NPI 1174549018

St John Health System- Detroit-Macomb Campus is a Surgery Physician in Warren, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone: (586) 573-5000
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1174549018
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Whitman — Director · (586) 226-6823
Other names Macomb Surgical Group
NPI enumeratedJuly 14, 2006
Last updated in NPPESJanuary 14, 2008
Mailing address43800 Garfield Rd, Suite 200, Clinton Township, MI 48038-1136

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