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General NPI Number Information
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NPI Number | 1922188135
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Entity Type | Organization
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Legal Business Name | ST. JOHN HEALTH SYSTEM / OAKLAND GENERAL HOSPITAL
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 27472 SCHOENHERR RD SUITE 130
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City | WARREN
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State | MI
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Zip | 48088-6688
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Country | US
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Telephone | 586-582-7550
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Fax | 586-582-7515
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Provider Business Mailing Address
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Address Line | 43800 GARFIELD RD SUITE 200
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1136
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Country | US
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Telephone | 586-228-4652
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Fax | 586-228-4520
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Authorized Official
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Title or Position | DIRECTOR
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Name | SANDRA WHITMAN
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Credential |
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Telephone | 586-226-6838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number |
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | MI
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