Organization
CANCER GENOMIC CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HALVERSON MD (CEO)
(734) 765-4282
Entity
Organization
Contact information
Practice address
1150 HEATHERLEA CT, CANTON, MI 48188-6238
(734) 765-4282
Mailing address
1150 HEATHERLEA CT, CANTON, MI 48188-6238
(734) 765-4282
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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