Organization
NORTH EASTERN MICHIGAN CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC A. HALMAN (SECRETARY TREASURER)
(734) 936-4302
Entity
Organization
Contact information
Practice address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-7353
(989) 356-8117
Mailing address
3621 S. STATE ST., 700 KMS, RM 519, RAD ONC, ANN ARBOR, MI 48108-1633
(734) 647-5170
(734) 615-5851
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320Z41016
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/17/2006
Last updated
08/22/2020
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