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1881891372
PROVIDENCE HOSPITAL
SOUTHFIELD, MI
NPI
1881891372
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Entity Type
Organization
Authorized Contact
GARY G OTSUJI
Programdirector
248-849-3447
Organization Subpart ?
No
Primary Taxonomy
281P00000X Chronic Disease Hospital
Enumeration Date
2007-06-28
Last Update Date
2020-08-22
Business Address
PROVIDENCE HOSPITAL
16400 N PARK DR APT 1008
SOUTHFIELD, MI 48075-4728
Phone number: 248-835-7259
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Mailing Address
PROVIDENCE HOSPITAL
16400 N.PARK DRIVE APT.1008
SOUTHFIELD, MI 48075
Phone number: 248-835-7259
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