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Avenue Hematology And Oncology Llc
Specialist in Edwardsburg, Michigan
NPI 1942559380

Avenue Hematology And Oncology Llc is a Specialist based in Edwardsburg, MI. Avenue Hematology And Oncology Llc practices in Edwardsburg, MI. The NPI Number for Avenue Hematology And Oncology Llc is 1942559380 and holds a License No. (Michigan).

The current practice location address for Avenue Hematology And Oncology Llc is 69045 M 62 Ste B1&B2, Edwardsburg, MI and can be reached out via phone at 574-968-4100 and via fax at 574-968-4125.

Location: 69045 M 62 Ste B1&B2, Edwardsburg, MI, 49112-9150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942559380
Provider Name
Avenue Hematology And Oncology Llc
Credential
Provider Entity Type
Organization
Address
69045 M 62 Ste B1&B2, Edwardsburg, MI, 49112-9150
Phone Number
574-968-4100
Fax Number
574-968-4125
Provider Enumeration Date
08/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IN1050 01 IN MEDICARE PART B INDIANA
MI7766 01 MI MEDICARE PART B MICHIGAN
institution
Provider Business Practice Location Address Details
Address
69045 M 62 Ste B1&B2
City
Edwardsburg
State
Michigan
Zip
49112-9150
Phone Number
574-968-4100
Fax Number
574-968-4125
person
Provider Business Mailing Address Details
Address
69045 M 62 Ste B1&B2
City
Edwardsburg
State
Michigan
Zip
49112-9150
Phone Number
574-968-4100
Fax Number
574-968-4125
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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