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Organization

EAST CENTRAL ONCOLOGY ASSOCIATES PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHEL RENE HURTUBISE MD (PRESIDENT)
(989) 631-3975
Entity
Organization

Contact information

Practice address
4011 ORCHARD DR, STE 1000, MIDLAND, MI 48640-6190
(989) 631-3975
(989) 631-4844
Mailing address
4011 ORCHARD DR, STE 1000, MIDLAND, MI 48640-6160
(989) 631-3975
(989) 631-4844

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301041385
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0298330001
NATIONAL GOVERNMENT SERVICES INC
MI
05
3523721
MI
01
C14732
PALMETTO GBA RAILROAD MEDICARE
MI
Enumeration date
09/14/2005
Last updated
01/24/2012
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