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1790720134
ST JOHN ANESTHESIOLOGISTS, PC
DETROIT, MI
NPI
1790720134
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Entity Type
Organization
Authorized Contact
DAVID A COLOSIMO
Authorized Official
313-343-4000
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2006-06-19
Last Update Date
2009-11-17
Business Address
ST JOHN ANESTHESIOLOGISTS, PC
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-4000
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Mailing Address
ST JOHN ANESTHESIOLOGISTS, PC
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 517-787-6440
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