Organization
DEARBORN ONCOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH C WON M.D. (OWNER)
(313) 574-9146
Entity
Organization
Contact information
Practice address
233 CHESTNUT CIR, BLOOMFIELD HILLS, MI 48304-2105
(313) 574-9146
(248) 203-9979
Mailing address
233 CHESTNUT CIR, BLOOMFIELD HILLS, MI 48304-2105
(313) 574-9146
(248) 203-9979
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
040797
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106361991
BCBS
MI
01
—
110F339390
BC GROUP
MI
05
—
4792608
—
MI
Enumeration date
10/16/2006
Last updated
02/25/2015
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