Lakeside Cancer Specialists, Pllc
NPI #1134254311 in Saint Joseph, Michigan
Provider Information
- NPI Number
- 1134254311
- Entity Type
- Organization
- Organization Name
- Lakeside Cancer Specialists, Pllc
- Primary Specialty
- Clinic/Center - Oncology
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Jul 20, 2009
Practice Location
- Address
- 3950 HOLLYWOOD RD
- Address 2
- SUITE 240
- City
- Saint Joseph
- State
- Michigan
- ZIP Code
- 49085-9151
- Phone
- (269) 428-4411
Authorized Official
- Name
- DR. EDMUND BRIAN PALOYAN, M.D.
- Title
- OWNER
- Phone
- (269) 428-4411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oncology — Oncology |
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