Michigan Oncology Hematology, Pllc

NPI #1790856565 in Mount Clemens, Michigan

Provider Information

NPI Number: 1790856565
Entity Type: Organization
Organization Name: Michigan Oncology Hematology, Pllc
Primary Specialty: Specialist
Enumeration Date: Nov 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1030 HARRINGTON ST
Address 2: SUITE 103
City: Mount Clemens
State: Michigan
ZIP Code: 48043-2967
Phone: (586) 493-3597

Authorized Official

Name: MICHAEL DAVID HENDERSON, M.D.
Title: PRESIDENT
Phone: (586) 493-3597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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