Organization
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION
Active
Other names
Cancer Care Center of Gerber Memorial Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL J STASIK (CEO)
(231) 924-3300
Entity
Organization
Contact information
Practice address
230 W OAK ST, LOWER LEVEL, FREMONT, MI 49412-1526
(231) 924-1305
(231) 924-1386
Mailing address
212 S SULLIVAN STREET, FREMONT, MI 49412-1548
(231) 924-3300
(231) 924-1164
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
01/08/2010
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