location
search-icon
institution
Great Lakes Cancer Mgmt Specialists
Non-Pharmacy Dispensing Site in Grosse Pointe Woods, Michigan
NPI 1982702973

Great Lakes Cancer Mgmt Specialists is a Non-Pharmacy Dispensing Site based in Grosse Pointe Woods, MI. Great Lakes Cancer Mgmt Specialists practices in Grosse Pointe Woods, MI. The NPI Number for Great Lakes Cancer Mgmt Specialists is 1982702973 and holds a License No. 4301406109 (Michigan).

The current practice location address for Great Lakes Cancer Mgmt Specialists is 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI and can be reached out via phone at 313-884-5522 and via fax at 313-884-5737.

Location: 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI, 48236-2857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982702973
Provider Name
Great Lakes Cancer Mgmt Specialists
Credential
Provider Entity Type
Organization
Address
19229 Mack Ave Ste 24, Grosse Pointe Woods, MI, 48236-2857
Phone Number
313-884-5522
Fax Number
313-884-5737
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2367161 01 OTHER ID NUMBER-COMMERCIAL NUMBER
2752283 05 MI
institution
Provider Business Practice Location Address Details
Address
19229 Mack Ave Ste 24
City
Grosse Pointe Woods
State
Michigan
Zip
48236-2857
Phone Number
313-884-5522
Fax Number
313-884-5737
person
Provider Business Mailing Address Details
Address
19229 Mack Ave Ste 24
City
Grosse Pointe Woods
State
Michigan
Zip
48236-2857
Phone Number
313-884-5522
Fax Number
313-884-5737
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
4301406109 (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.)
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.