institution
Great Lakes Cancer Mgmt Specialists
Non-Pharmacy Dispensing Site in Utica, Michigan
NPI 1427155357

Great Lakes Cancer Mgmt Specialists is a Non-Pharmacy Dispensing Site based in Utica, MI. Great Lakes Cancer Mgmt Specialists practices in Utica, MI. The NPI Number for Great Lakes Cancer Mgmt Specialists is 1427155357 and holds a License No. 4301056352 (Michigan).

The current practice location address for Great Lakes Cancer Mgmt Specialists is 11051 Hall Rd, Utica, MI and can be reached out via phone at 586-991-0700 and via fax at 586-991-0701.

Location: 11051 Hall Rd, Utica, MI, 48317-5735
institution
Provider Profile Details
NPI Number
1427155357
Provider Name
Great Lakes Cancer Mgmt Specialists
Credential
Provider Entity Type
Organization
Address
11051 Hall Rd, Utica, MI, 48317-5735
Phone Number
586-991-0700
Fax Number
586-991-0701
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4231200 05 MI
2367159 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
11051 Hall Rd
City
State
Zip
48317-5735
Phone Number
586-991-0700
Fax Number
586-991-0701
person
Provider Business Mailing Address Details
Address
11051 Hall Rd
City
State
Zip
48317-5735
Phone Number
586-991-0700
Fax Number
586-991-0701
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
4301056352 (Michigan)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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