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Central Clinic, Pc
Hematology & Oncology Physician in Jackson, Michigan
NPI 1649469743

Central Clinic, Pc is a Hematology & Oncology Physician based in Jackson, MI and is specialized in Hematology & Oncology. Central Clinic, Pc practices in Jackson, MI. The NPI Number for Central Clinic, Pc is 1649469743 and holds a License No. 4301042822 (Michigan).

The current practice location address for Central Clinic, Pc is 603 Lansing Ave, Jackson, MI and can be reached out via phone at 517-787-8371 and via fax at 517-787-2639.

Location: 603 Lansing Ave, Jackson, MI, 49202-3209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649469743
Provider Name
Central Clinic, Pc
Credential
Provider Entity Type
Organization
Address
603 Lansing Ave, Jackson, MI, 49202-3209
Phone Number
517-787-8371
Fax Number
517-787-2639
Provider Enumeration Date
10/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2833980 05 MI
institution
Provider Business Practice Location Address Details
Address
603 Lansing Ave
City
Jackson
State
Michigan
Zip
49202-3209
Phone Number
517-787-8371
Fax Number
517-787-2639
person
Provider Business Mailing Address Details
Address
603 Lansing Ave
City
Jackson
State
Michigan
Zip
49202-3209
Phone Number
517-787-8371
Fax Number
517-787-2639
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
4301042822 (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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