Organization
CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART A GENSCHAW (EXECUTIVE DIRECTOR)
(616) 977-4857
Entity
Organization
Contact information
Practice address
145 MICHIGAN ST NE STE 3100, GRAND RAPIDS, MI 49503-2563
(616) 954-9800
Mailing address
5800 FOREMOST DR SE STE 300, GRAND RAPIDS, MI 49546-7062
(616) 954-9800
(616) 954-0659
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M08620
MEDICARE GROUP NUMBER
MI
01
—
MI19278
MEDICARE GROUP NUMBER
MI
Enumeration date
05/11/2006
Last updated
04/14/2026
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