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Macomb Hematology Oncology
Hematology & Oncology Physician in Warren, Michigan
NPI 1609814631

Macomb Hematology Oncology is a Hematology & Oncology Physician based in Grosse Pointe Park, MI and is specialized in Hematology & Oncology. Macomb Hematology Oncology practices in Warren, MI. The NPI Number for Macomb Hematology Oncology is 1609814631 and holds a License No. ET040673 (Michigan).

The current practice location address for Macomb Hematology Oncology is 11900 E 12 Mile Rd, Warren, MI and can be reached out via phone at 586-558-4700 and via fax at 586-558-4706.

Location: 11900 E 12 Mile Rd, Warren, MI, 48230-1327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609814631
Provider Name
Macomb Hematology Oncology
Credential
Provider Entity Type
Organization
Address
11900 E 12 Mile Rd, Warren, MI, 48230-1327
Phone Number
586-558-4700
Fax Number
586-558-4706
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102880283 05 MI
institution
Provider Business Practice Location Address Details
Address
11900 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3400
Phone Number
586-558-4700
Fax Number
586-558-4706
person
Provider Business Mailing Address Details
Address
11900 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3400
Phone Number
586-558-4700
Fax Number
586-558-4706
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
ET040673 (Michigan)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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