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Organization

HEMATOLOGY-ONCOLOGY ASSOC. EAST, PC

Active
Other names
GREAT LAKES CANCER MANAGEMENT
Organization subpart
No

Provider details

NPI number
Authorized official
MOLLI MAJOR (BILLING MANAGEMENT)
(313) 884-1059
Entity
Organization

Contact information

Practice address
11051 HALL RD, SUITE 120, UTICA, MI 48317-5735
(586) 991-0700
(586) 991-0701
Mailing address
19229 MACK AVE, SUITE 24, GROSSE POINTE WOODS, MI 48236-2858
(313) 884-5522
(313) 884-5521

Taxonomy

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

Other

Enumeration date
02/29/2008
Last updated
02/29/2008
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