| Organization Name: | ST. JOHN HOSPITAL |
| NPI Number: | 1124253406 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANA MARIE STEWART (ACUTE CARE NURSE PRACTITIONER) |
| Mailing Address: | 27351 Dequindre Rd Madison Heights |
| State: | MI US |
| Postal Code: | 480713487 |
| Phone Number: | 2489677807 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2009 |
| NPI Last Update Date: | 07/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 4704194016 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |