OrganizationActive
Ascension St John Hospital
NPI 1023149473 · Neurology Physician · Detroit, MI
Provider details
- NPI number
- 1023149473
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Palazzolo, V.p. - Finance(313) 343-3558
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
22101 Moross Rd
Detroit, MI 48236-2148
Phone: (586) 753-0011
Approximate (ZIP-level) locationGet directions
Mailing address
28000 Dequindre Rd
Warren, MI 48092-2468
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2020-03-31
- Certified
- 2020-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.