Great Lakes Radiation Medicine Pc in Marquette - Radiation Oncology

Great Lakes Radiation Medicine Pc - NPI 1437218609

Great Lakes Radiation Medicine Pc is a Radiation Oncology in Marquette, Michigan. Great Lakes Radiation Medicine Pc practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Great Lakes Radiation Medicine Pc is 1437218609. The last update date is 2014-12-02.

Great Lakes Radiation Medicine Pc's current location address is 420 W Magnetic Street, Marquette, Michigan. You can contact this provider via phone number 9062289440 and fax number 9062253772. The mailing address for Great Lakes Radiation Medicine Pc is 420 W Magnetic Street, Marquette, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Great Lakes Radiation Medicine Pc
Address 420 W Magnetic Street, Marquette, Michigan
Phone Number 9062289440
Fax Number 9062253772
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Thieme O Paul
Credentials DO
Telephone Number 9062289440

NPI Number Detail

NPI Number 1437218609
Provider Enumeration Date 2006-12-06
Last Updated Date 2014-12-02

Provider Mailing Address Detail

Address 420 W Magnetic Street
City Marquette
State Michigan (MI)
Post Code 49855
Phone Number 9062289440
Fax Number 9062253772

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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FAQs about Great Lakes Radiation Medicine Pc

What is the unique 10-digit identification code assigned to Great Lakes Radiation Medicine Pc by the Centers for Medicare & Medicaid Services?

The Great Lakes Radiation Medicine Pc has been issued the NPI (National Provider Identifier) 1437218609, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Great Lakes Radiation Medicine Pc is physically located?

The Great Lakes Radiation Medicine Pc is physically situated at the following address: 420 W Magnetic Street, Marquette, MI, 49855.

What is Great Lakes Radiation Medicine Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Great Lakes Radiation Medicine Pc is Radiation Oncology, and the taxonomy code that classifies this field of practice is 2085R0001X.

When was the Great Lakes Radiation Medicine Pc's 1437218609 issued?

The Great Lakes Radiation Medicine Pc's 1437218609 was issued on 2006-12-06.

As of what date was the information regarding Great Lakes Radiation Medicine Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Great Lakes Radiation Medicine Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-12-02.

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