NORTHERN ONCOLOGY SERVICES PLLC NPI 1851561773

NPI Information

NORTHERN ONCOLOGY SERVICES PLLC is a specialist in Grand Rapids, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHERN ONCOLOGY SERVICES PLLC NPI is 1851561773. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Medical Specialty Associates Pc.

The provider's business location address is:

515 MICHIGAN ST NE
SUITE 301
GRAND RAPIDS, MI
ZIP 49503-721
Phone: (616) 456-8115
Fax: (616) 456-1079

The provider's authorized official is Lawrence E Pawl .
The authorized official title is President and has the following contact phone number (616) 456-8115.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 6/11/2012.

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:

Other Identifiers

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