Organization · Type 2 NPI

ST John Health System- Detroit-Macomb Campus

Surgery Physician · Warren, MI

NPI number 1174549018 Active

Practice location

11800 E 12 Mile Rd
Warren, MI 48093-3472

Mailing address

43800 Garfield Rd, Suite 200
Clinton Township, MI 48038-1136

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1174549018

ST John Health System- Detroit-Macomb Campus's National Provider Identifier is 1174549018, issued on Jul 14, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Warren, MI. The record was last updated on Jan 14, 2008.