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Richard A Axtell, MD
Pediatric Hematology & Oncology Physician in Grand Rapids, Michigan
NPI 1932170065

Richard A Axtell is a Pediatric Hematology & Oncology Physician based in Grand Rapids, MI and is specialized in Pediatric Hematology-Oncology. Richard A Axtell practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Richard A Axtell is 1932170065 and holds a License No. 4301048203 (Michigan).

The current practice location address for Richard A Axtell is 100 Michigan St Ne, Grand Rapids, MI and can be reached out via phone at 616-267-1925 and via fax at 616-267-1005.

Location: 100 Michigan St Ne, Grand Rapids, MI, 49503-2560
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Provider Profile Details
NPI Number
1932170065
Provider Name
Richard A Axtell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Michigan St Ne, Grand Rapids, MI, 49503-2560
Phone Number
616-267-1925
Fax Number
616-267-1005
Provider Enumeration Date
01/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104134811 01 MI BCBSM
2841427 05 MI
institution
Provider Business Practice Location Address Details
Address
100 Michigan St Ne
City
State
Zip
49503-2560
Phone Number
616-267-1925
Fax Number
616-267-1005
person
Provider Business Mailing Address Details
Address
100 Michigan St Ne
City
State
Zip
49503-2560
Phone Number
616-267-1925
Fax Number
616-267-1005
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Hematology-Oncology
Taxonomy
License No.
4301048203 (Michigan)
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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