Organization · Type 2 NPI

ST John Hospital and Medical Center

Diagnostic Radiology Physician · Macomb, MI

NPI number 1740445337 Active

Practice location

46591 Romeo Plank Rd, Suite 137
Macomb, MI 48044-5742

Fax (586) 226-6255

Mailing address

PO Box 67000, Department 184101
Detroit, MI 48267-0002

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Neuroimaging (Radiology) Physician 2085D0003XNone listed
Neuroradiology Physician 2085N0700XNone listed
Nuclear Radiology Physician 2085N0904XNone listed
Pediatric Radiology Physician 2085P0229XNone listed
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Vascular & Interventional Radiology Physician 2085R0204XNone listed
Diagnostic Ultrasound Physician 2085U0001XNone listed
Radiologic Technologist 247100000XNone listed
Bone Densitometry Radiologic Technologist 2471B0102XNone listed
Radiography Radiologic Technologist 2471C3402XNone listed
Mammography Radiologic Technologist 2471M2300XNone listed
Nuclear Medicine Technology Radiologic Technologist 2471N0900XNone listed
Sonography Radiologic Technologist 2471S1302XNone listed
Vascular Sonography Radiologic Technologist 2471V0105XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

21 other providers at this address

About NPI 1740445337

ST John Hospital and Medical Center's National Provider Identifier is 1740445337, issued on Jul 23, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Macomb, MI. The record was last updated on Jan 27, 2011.