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Organization

CANCER CARE ASSOCIATES, P.C.

Active
Other names
Wellpointe Laboratories
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY J D'ERRICO D.O. (LABORATORY DIRECTOR)
(248) 997-9000
Entity
Organization

Contact information

Practice address
1701 SOUTH BLVD E, SUITE 107, ROCHESTER HILLS, MI 48307-6122
(248) 852-4231
(248) 852-4546
Mailing address
1701 SOUTH BLVD E, SUITE 107, ROCHESTER HILLS, MI 48307-6122
(248) 852-4231
(248) 852-4546

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4779624
MI
Enumeration date
03/26/2007
Last updated
05/07/2008
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