Organization
PMHC CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC STRUCKO (CFO)
(734) 936-4000
Entity
Organization
Contact information
Practice address
47601 GRAND RIVER, NOVI, MI 48374
(248) 465-4300
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320F375710
BCBS
MI
Enumeration date
07/10/2006
Last updated
02/19/2026
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