| St John Health Chronic Headache And Migraine Institute | |
|
27483 Dequindre Rd Suite 306 Madison Heights MI 48071-3491 | |
| (248) 967-7988 | |
| (248) 967-7991 |
| Full Name | St John Health Chronic Headache And Migraine Institute |
|---|---|
| Speciality | Surgery |
| Location | 27483 Dequindre Rd, Madison Heights, Michigan |
| Authorized Official Name and Position | Sandra Ellen Whitman (DIRECTOR-PHYSICIAN BILLING SERVICES) |
| Authorized Official Contact | 2487463218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St John Health Chronic Headache And Migraine Institute 25925 Telegraph Rd 210 Southfield MI 48034-2518 Ph: (248) 746-3218 | St John Health Chronic Headache And Migraine Institute 27483 Dequindre Rd Suite 306 Madison Heights MI 48071-3491 Ph: (248) 967-7988 |
| NPI Number | 1255451456 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255451456 | NPI | - | NPPES |
| 680F33073 | Other | MI | BCBSM GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
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