Great Lakes Cancer Mgmt Specialists in Grosse Pointe Woods - Non-pharmacy Dispensing Site
Great Lakes Cancer Mgmt Specialists - NPI 1982702973
Great Lakes Cancer Mgmt Specialists is a Non-pharmacy Dispensing Site in Grosse Pointe Woods, Michigan. Great Lakes Cancer Mgmt Specialists practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Great Lakes Cancer Mgmt Specialists is 1982702973. The last update date is 2020-08-22.
Great Lakes Cancer Mgmt Specialists's current location address is 19229 Mack Ave Ste 24, Grosse Pointe Woods, Michigan. You can contact this provider via phone number 3138845522 and fax number 3138845737. The mailing address for Great Lakes Cancer Mgmt Specialists is 19229 Mack Ave Ste 24, Grosse Pointe Woods, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Cancer Mgmt Specialists |
|---|---|
| Address | 19229 Mack Ave Ste 24, Grosse Pointe Woods, Michigan |
| Phone Number | 3138845522 |
| Fax Number | 3138845737 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FIN. |
|---|---|
| Authorized Official Name | Clark Roxanne |
| Credentials | MPA,FAAMA |
| Telephone Number | 3138845524 |
NPI Number Detail
| NPI Number | 1982702973 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 19229 Mack Ave Ste 24 |
|---|---|
| City | Grosse Pointe Woods |
| State | Michigan (MI) |
| Post Code | 482362857 |
| Phone Number | 3138845522 |
| Fax Number | 3138845737 |
Provider's Primary Taxonomy Detail
| Speciality | Non-pharmacy Dispensing Site |
|---|---|
| Taxonomy | 332900000X |
| Licence No | 4301406109 |
|
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.) |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2367161 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 2752283 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Great Lakes Cancer Mgmt Specialists?
The Great Lakes Cancer Mgmt Specialists has been issued the NPI (National Provider Identifier) 1982702973 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Great Lakes Cancer Mgmt Specialists?
The Great Lakes Cancer Mgmt Specialists is physically situated at 19229 Mack Ave Ste 24, in the city of Grosse Pointe Woods, state of MI, with the postal code 482362857.
What is Great Lakes Cancer Mgmt Specialists's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Great Lakes Cancer Mgmt Specialists is Non-pharmacy Dispensing Site, and the corresponding taxonomy classification code for this specialized field is 332900000X.
On what date did the Great Lakes Cancer Mgmt Specialists receive the assignment of its 1982702973 from the Centers for Medicare & Medicaid Services?
The Great Lakes Cancer Mgmt Specialists was issued its 1982702973 by the Centers for Medicare & Medicaid Services on 2006-09-21.
As of what date was the information pertaining to Great Lakes Cancer Mgmt Specialists, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Great Lakes Cancer Mgmt Specialists, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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