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Contact Information

SJMH MEDICAL PRACTICE
44555 WOODWARD AVE
SUITE 105
PONTIAC, MI48341-5031
 Phone: 248-858-6773
 Fax: 248-858-3921
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SJMH MEDICAL PRACTICE

NPI Number 1740382183
LBN Legal business name SJMH MEDICAL PRACTICE
Authorized official JACK WEINER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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