| NPI | 1255451456 |
|---|---|
| Doing Business As | ST JOHN HEALTH CHRONIC HEADACHE AND MIGRAINE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | SANDRA ELLEN WHITMAN Director Physician Billing Services 248-746-3218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |