Great Lakes Cancer Mgmt Specialists

NPI 1427155357 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1427155357
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROXANNE ROXANNE
Position CHIEF FINANCIAL OFFICER
Phone (586) 991-0700
Fax (586) 991-0701
Practice Location
11051 HALL RD
STE 120
UTICA MI, 48317-5735, US
Phone (586) 991-0700
Fax (586) 991-0701
Business Location
11051 HALL RD
STE 120
UTICA MI, 48317-5735, US
Phone
Fax
Toxanomy
Taxonomy Code 332900000X
License State Michigan
License Number 4301056352
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According to our database, Great Lakes Cancer Mgmt Specialists NPI is 1427155357, taxonomy code is 332900000X and license number is 4301056352, license state is located at Michigan. Great Lakes Cancer Mgmt Specialists physically located at 11051 Hall Rd, Utica MI, 48317-5735. NPI Number 1033115704 has the healthcare provider type.

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1427155357 NPI number is provided on an as is basis without warranty of any kind. 1427155357 is maintained by the National Plan & Provider Enumeration System. The contents of Great Lakes Cancer Mgmt Specialists are for informational purposes only.