Great Lakes Cancer Mgmt Specialists in Utica - Non-pharmacy Dispensing Site
Great Lakes Cancer Mgmt Specialists - NPI 1427155357
Great Lakes Cancer Mgmt Specialists is a Non-pharmacy Dispensing Site in Utica, 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 1427155357. The last update date is 2020-08-22.
Great Lakes Cancer Mgmt Specialists's current location address is 11051 Hall Rd, Utica, Michigan. You can contact this provider via phone number 5869910700 and fax number 5869910701. The mailing address for Great Lakes Cancer Mgmt Specialists is 11051 Hall Rd, Utica, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Cancer Mgmt Specialists |
|---|---|
| Address | 11051 Hall Rd, Utica, Michigan |
| Phone Number | 5869910700 |
| Fax Number | 5869910701 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Clark Roxanne |
| Telephone Number | 3138845524 |
NPI Number Detail
| NPI Number | 1427155357 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 11051 Hall Rd |
|---|---|
| City | Utica |
| State | Michigan (MI) |
| Post Code | 483175735 |
| Phone Number | 5869910700 |
| Fax Number | 5869910701 |
Provider's Primary Taxonomy Detail
| Speciality | Non-pharmacy Dispensing Site |
|---|---|
| Taxonomy | 332900000X |
| Licence No | 4301056352 |
|
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 |
|---|---|---|---|
| 4231200 | MI | -- | |
| 2367159 | OTHER ID NUMBER-COMMERCIAL NUM |
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) 1427155357 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Great Lakes Cancer Mgmt Specialists's facilities are geographically located?
The facilities of Great Lakes Cancer Mgmt Specialists are physically situated at the following location: 11051 Hall Rd, Utica, MI, 483175735.
What is Great Lakes Cancer Mgmt Specialists's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Great Lakes Cancer Mgmt Specialists is Non-pharmacy Dispensing Site, and the taxonomy classification code that categorizes this area of expertise is 332900000X.
When did the Great Lakes Cancer Mgmt Specialists receive its 1427155357?
The Great Lakes Cancer Mgmt Specialists was issued its 1427155357 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
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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