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

St John Hospital and Medical Center

Organization Cardiovascular Disease Physician · NPI 1366573099

St John Hospital and Medical Center is a Cardiovascular Disease Physician in Detroit, Michigan. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4

Practice location Address checks out

22201 Moross Rd Ste 70
Detroit, MI 48236-2169
Phone: (586) 753-0011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Pulmonary Disease Physician Taxonomy 207RP1001X
Nuclear Medicine Physician Taxonomy 207U00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1366573099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Palazzolo — V.P. - Finance · (313) 343-3558
NPI enumeratedMarch 7, 2007
Last updated in NPPESJune 10, 2009
Mailing address28000 Dequindre Rd, Warren, MI 48092-2468

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