Organization
FLINT RADIATION THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONG WHAN OH M.D. (PHYSICIAN)
(810) 762-8058
Entity
Organization
Contact information
Practice address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8058
Mailing address
DEPT CH 17818, PALATINE, IL 60055-0001
(810) 762-8058
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B51006
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/30/2006
Last updated
12/12/2007
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