Pmhc Cancer Center

NPI #1154471837 in Novi, Michigan

Provider Information

NPI Number: 1154471837
Entity Type: Organization
Organization Name: Pmhc Cancer Center
Subpart: Yes (part of a larger organization)
Parent Organization: PMHC CANCER CENTER
Primary Specialty: Physician Assistant
Enumeration Date: Jan 12, 2007
Last Updated: May 3, 2021

Practice Location

Address: 47601 GRAND RIVER
City: Novi
State: Michigan
ZIP Code: 48374
Phone: (248) 465-4300

Authorized Official

Name: PAUL CASTILLO
Title: CFO
Phone: (734) 615-0574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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