Organization
NORTHERN ONCOLOGY SERVICES PLLC
Active
Other names
Medical Specialty Associates PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE E PAWL M.D. (PRESIDENT)
(616) 456-8115
Entity
Organization
Contact information
Practice address
515 MICHIGAN ST NE, SUITE 301, GRAND RAPIDS, MI 49503-5721
(616) 456-8115
(616) 456-1079
Mailing address
515 MICHIGAN ST NE, SUITE 301, GRAND RAPIDS, MI 49503-5721
(616) 456-8115
(616) 456-1079
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301038152
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2991200
—
MI
Enumeration date
03/06/2008
Last updated
06/11/2012
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