Organization
MCRMC PROFESSIONAL ONCOLOGY BILLING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J KANE (CORP DIRECTOR PHYSICIAN BILLING)
(810) 342-1530
Entity
Organization
Contact information
Practice address
1080 HARRINGTON BLVD, SUITE 201, MOUNT CLEMENS, MI 48043-2967
(586) 493-7575
(586) 493-7576
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/11/2007
Last updated
02/21/2011
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