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CANCER GENOMIC CONSULTANTS PC NPI 1467031013


NPI Information

NPI: 1467031013
Provider Name: CANCER GENOMIC CONSULTANTS PC
Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

Address:
1150 HEATHERLEA CT
CANTON, MI
ZIP 48188
Phone: (734) 765-4282
Get Directions

CANCER GENOMIC CONSULTANTS PC is a medical oncology internal medicine in Canton, 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. CANCER GENOMIC CONSULTANTS PC NPI is 1467031013. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1150 HEATHERLEA CT
CANTON, MI
ZIP 48188-238
Phone: (734) 765-4282

The provider's authorized official is David Halverson .
The authorized official title is Ceo and has the following contact phone number (734) 765-4282.

The enumeration date for this NPI number is 4/2/2021 and was last updated on 4/2/2021.


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
1207RX0202XInternal MedicineMedical OncologyYes

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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