Organization
DOWNRIVER CANCER CENTER
Active
Other names
Josephine Ford Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY ESPOSITO (GROUP PRACTICE DIR.)
(313) 916-2803
Entity
Organization
Contact information
Practice address
19675 ALLEN RD, BROWNSTOWN TWP, MI 48183-1021
(734) 479-3311
(734) 479-8009
Mailing address
19675 ALLEN RD, BROWNSTOWN TWP, MI 48183-1021
(734) 479-3311
(734) 479-8009
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
065057
MI
2085R0001X
Radiation Oncology Physician
402608
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018870
MIDWEST HEALTH PLAN
MI
05
—
3156435
—
MI
01
—
320H210170
BCBS
MI
01
—
4476493
GREAT LAKES HEALTH PLAN
MI
05
—
4476493
—
MI
01
—
OM11130
HEALTH ALLIANCE PLAN
MI
Enumeration date
10/20/2005
Last updated
05/29/2013
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