Jeanette E Wilson
ASCENSION ST JOHN HOSPITAL


Address: 21099 Masonic Blvd, Saint Clair Shores, MI 48082-1045
Phone: 5862966213

Jeanette E Wilson (NPI# 1376926865, PAC ID# 3375833965) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1376926865
PAC ID by PECOS 3375833965
Professional Enrollment ID I20180710002712
Full Name Jeanette E Wilson
Organization Legal Name ASCENSION ST JOHN HOSPITAL
Address 21099 Masonic Blvd
Saint Clair Shores
MI 48082-1045
Phone Number 5862966213
Gender F
Graduation Year 2015
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 3173424082
Number of Group Practice Members 297
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230165 ST JOHN HOSPITAL AND MEDICAL CENTER

Other Locations

Address Phone Organization
21099 Masonic Blvd, Saint Clair Shores, MI 48082-1045 5862966213 ASCENSION ST JOHN HOSPITAL

Organization Information

Organization Legal Name ASCENSION ST JOHN HOSPITAL
Physicians 251

Physicians with the same organization

Name Specialty Organization Address
Holly Ouillette Obstetrics/gynecology Ascension St John Hospital 22151 Moross Rd, Suite 313, Grosse Pointe, MI 48236-2197
Nishan H Chobanian Gynecological Oncology Ascension St John Hospital 22301 Foster Winter Dr 3rd Floor, Sjhmc V K Malviya Md, Southfield, MI 48075-3707
Andrey A Volkov Neurosurgery Ascension St John Hospital 22201 Moross Rd, Suite 352, Detroit, MI 48236-2176
Ashish Bhargava Infectious Disease Ascension St John Hospital 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898
Julia K Tesch Internal Medicine Ascension St John Hospital 17141 Kercheval Ave, Grosse Pointe, MI 48230-1660
Eileen M Reickert Family Medicine Ascension St John Hospital 24911 Little Mack Ave C, Saint Clair Shores, MI 48080-3200
Douglas C Kubek Otolaryngology Ascension St John Hospital 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156
Vamshidhar D Guduguntla Interventional Cardiology Ascension St John Hospital 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909
John W Becker Otolaryngology Ascension St John Hospital 11080 Hall Rd A, Sterling Heights, MI 48314-1511
Susan E Lyons Hematology/oncology Ascension St John Hospital 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707

Office Location

Street Address 21099 MASONIC BLVD
City SAINT CLAIR SHORES
State MI
Zip 48082-1045

Physicians in the same zip code

Name Specialty Organization Address
Brian A Arnold Chiropractic 31930 Harper Ave, Saint Clair Shores, MI 48082-1418
Brenda J Chapman Clinical Social Worker 30017 Harper Ave, Saint Clair Shores, MI 48082-1649
Matthew L Christy Audiologist Audiology Distribution LLC 30045 Harper Ave B, St Clair Shores, MI 48082-1649
Raymond J Farrar Podiatry 22719 Garfield St, Saint Clair Shores, MI 48082-1857
Thomas Vincent Cliff Clinical Social Worker 29700 Harper Ave, Suite 1, Saint Clair Shores, MI 48082-2601
Nagalingappa Bhadra Chari General Surgery 29900 Harper Ave, Saint Clair Shores, MI 48082-2656

Competitor

Search similar physicians

City SAINT CLAIR SHORES
Zip Code 48082
Specialty FAMILY MEDICINE
City + Specialty SAINT CLAIR SHORES + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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