Organization
JEFFREY P. LETZER, DO, PLC. DBA KALAMAZOO HEMATOLOGY & ONCOLOGY
Active
Other names
Kalamazoo Hematology & Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY P. LETZER D.O. (OWNER)
(269) 341-9200
Entity
Organization
Contact information
Practice address
1634 GULL RD, SUITE 103, KALAMAZOO, MI 49048
(269) 341-9200
(269) 341-4197
Mailing address
1634 GULL RD, SUITE 103, KALAMAZOO, MI 49048
(269) 341-9200
(269) 341-4197
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
JL010182
MI
207RH0003X
Hematology & Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01008954
HEALTHPLUS OF MICHIGAN
MI
01
—
053
CARE SOURCE MEDICAID HMO
MI
01
—
0N89040
MEDICARE PLUS BLUE MICHIGAN
MI
01
—
110C912010
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
4290016
—
MI
Enumeration date
06/18/2006
Last updated
02/08/2010
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