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WEST MICHIGAN CANCER CENTER NPI 1447261730


NPI Information

NPI: 1447261730
Provider Name: WEST MICHIGAN CANCER CENTER
Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

Address:
200 N PARK ST
KALAMAZOO, MI
ZIP 49007
Phone: (269) 382-2500
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WEST MICHIGAN CANCER CENTER is a medical oncology internal medicine in Kalamazoo, MI. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. WEST MICHIGAN CANCER CENTER NPI is 1447261730. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 N PARK ST
KALAMAZOO, MI
ZIP 49007-731
Phone: (269) 382-2500

The provider's authorized official is Joseph Mirro .
The authorized official title is President/ceo/cmo and has the following contact phone number (269) 382-2500.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 7/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0201XObstetrics & GynecologyGynecologic OncologyNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
42085R0001XRadiologyRadiation OncologyMICHIGANNo
5207RX0202XInternal MedicineMedical OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10C91143OTHERMICHIGANBCBSM
22430038OTHERMICHIGANUHC
30N66670MEDICARE PINMICHIGAN
40N66660MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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