| NPI | 1265486245 |
|---|---|
| Other Name | ST. JOHN RIVER DISTRICT PHYSICIAN PRACTICES |
| Entity Type | Organization |
| Authorized Contact | ROBERT GUHA VP Finance 248-680-8264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0000X Family Medicine Adolescent Medicine |
| 207QA0505X Family Medicine Adult Medicine | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine | |
| 207VX0000X Obstetrics & Gynecology Obstetrics | |
| 207Y00000X Otolaryngology | |
| 207YP0228X Otolaryngology Pediatric Otolaryngology | |
| 207YS0123X Otolaryngology Facial Plastic Surgery | |
| 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck | |
| 207YX0602X Otolaryngology Otolaryngic Allergy | |
| 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2023-11-15 |