Organization
WEST MICHIGAN CANCER CENTER
Active
Parent organization
WEST MICHIGAN CANCER CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST MICHIGAN CANCER CENTER
Authorized official
DR. JOSEPH MIRRO (PRESIDENT/CEO/CMO)
(269) 382-2500
Entity
Organization
Contact information
Practice address
200 N PARK ST, KALAMAZOO, MI 49007-3731
(269) 382-2500
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-8419
(269) 341-8743
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
MI
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C91143
BCBSM
MI
01
—
2430038
UHC
MI
Enumeration date
08/11/2006
Last updated
07/07/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us