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

St John Macomb Oakland Hospital

Organization Emergency Medicine Physician · NPI 1811154628

St John Macomb Oakland Hospital is an Emergency Medicine Physician in Warren, Michigan. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
3

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

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Pediatric Cardiology Physician Taxonomy 2080P0202X
Neurology Physician Taxonomy 2084N0400X

Record details

NPI number1811154628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randolph Kummler — Vp Finance · (586) 573-5910
NPI enumeratedMay 20, 2008
Last updated in NPPESOctober 16, 2008
Mailing address28000 Dequindre Rd, Warren, MI 48092-2468

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