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Organization
PMHC CANCER CENTER
Active
Organization
PMHC CANCER CENTER
Active
Parent organization
PMHC CANCER CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PMHC CANCER CENTER
Authorized official
PAUL CASTILLO (CFO)
(734) 615-0574
Entity
Organization
Contact information
Practice address
47601 GRAND RIVER, NOVI, MI 48374
(248) 465-4300
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
01/12/2007
Last updated
05/03/2021
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