St John Providence Eastwood Clinic
St John Providence Eastwood Clinic is a Clinic/Center in Detroit, Michigan. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
4777 E Outer Dr Ste 1105Detroit, MI 48234-3241
Phone: (313) 369-5508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1558619510 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Healy — Supervisor · (313) 369-5508 |
| NPI enumerated | August 23, 2012 |
| Last updated in NPPES | August 23, 2012 |
| Mailing address | 4777 E Outer Dr Ste 1105, Detroit, MI 48234-3241 |
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