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1558619510
ST JOHN PROVIDENCE EASTWOOD CLINIC
DETROIT, MI
NPI
1558619510
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Entity Type
Organization
Authorized Contact
DONALD HEALY
Supervisor
313-369-5508
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2012-08-23
Last Update Date
2012-08-23
Business Address
ST JOHN PROVIDENCE EASTWOOD CLINIC
4777 E OUTER DR STE 1105
DETROIT, MI 48234-3241
Phone number: 313-369-5508
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Mailing Address
ST JOHN PROVIDENCE EASTWOOD CLINIC
4777 E OUTER DR STE 1105
DETROIT, MI 48234-3241
Phone number:
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