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Organization

ONCOLOGY & HEMATOLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH D BAILEY M.D. (CEO)
(269) 226-8800
Entity
Organization

Contact information

Practice address
5010 GULL RD STE A, KALAMAZOO, MI 49048-1093
(269) 226-8800
(269) 226-8804
Mailing address
5010 GULL RD STE A, KALAMAZOO, MI 49048-1093
(269) 226-8800
(269) 226-8804

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4310041932
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11-0C97609-0
BCBS
MI
01
110102734
MEDICARE ID TYPE UNSPECIF
MI
05
1338976
MI
01
36-30007
PHYSICIANS HEALTH PLAN
MI
01
CG2125
RR MEDICARE
MI
Enumeration date
02/21/2007
Last updated
11/26/2008
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