Organization · Type 2 NPI

Henry Ford Health St. John Hospital

Cardiovascular Disease Physician · Detroit, MI

NPI number 1396876256 Active

Practice location

22101 Moross Rd
Detroit, MI 48236-2148

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Interventional Cardiology Physician 207RI0011XNone listed
Clinic/Center 261Q00000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1396876256

Henry Ford Health St. John Hospital's National Provider Identifier is 1396876256, issued on Mar 9, 2007. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Detroit, MI. The record was last updated on Jul 16, 2026.