Individual
DR. LAURA ASHACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 N PARK ST, KALAMAZOO, MI 49007-3731
(269) 382-2500
Mailing address
200 N PARK ST, KALAMAZOO, MI 49007-3731
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
125069732
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2016
Last updated
08/06/2021
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