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 Family Medicine Physician · NPI 1780854174

St John Hospital and Medical Center is a Family Medicine Physician in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008

Practice location Address checks out

24911 Little Mack Ave Ste C
Saint Clair Shores, MI 48080-3200
Phone: (586) 447-9081
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301088641 (MI)

Record details

NPI number1780854174
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Bollin — Chief Of The Department Of Fm · (586) 447-9081
NPI enumeratedMarch 3, 2008
Last updated in NPPESMarch 3, 2008
Mailing address21441 Sloan Dr, Apt # 102 B, Harper Woods, MI 48225-2428

Other providers in Saint Clair Shores