West Michigan Cancer Center

NPI #1477640720 in Kalamazoo, Michigan

Provider Information

NPI Number: 1477640720
Entity Type: Organization
Organization Name: West Michigan Cancer Center
Subpart: Yes (part of a larger organization)
Parent Organization: WEST MICHIGAN CANCER CENTER
Primary Specialty: Physician Assistant
Enumeration Date: Oct 6, 2006
Last Updated: Nov 5, 2007

Practice Location

Address: 200 N PARK ST
City: Kalamazoo
State: Michigan
ZIP Code: 49007-3731
Phone: (264) 382-2500

Authorized Official

Name: MS. TERRY MCKAY
Title: PRESIDENT
Phone: (269) 382-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X	Primary

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