Organization
GRAND RAPIDS RADIATION ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M KANE M.D. (PRESIDENT)
(616) 897-0995
Entity
Organization
Contact information
Practice address
250 CHERRY, GRAND RAPIDS, MI 49503
(616) 752-6218
(616) 774-8960
Mailing address
6935 RELIABLE PKWY, CHICAGO, IL 60686-0001
(616) 897-0995
(616) 897-0986
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D11351
BCBSM
MI
01
—
1005578
CHP
MI
Enumeration date
02/12/2007
Last updated
07/12/2007
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