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Contact Information

MICHIGAN ONCOLOGY ASSOCIATES PLLC
461 WEST HURON STREET
PONTIAC, MI48341
 Phone: 248-857-6717
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for MICHIGAN ONCOLOGY ASSOCIATES PLLC · (Female)

NPI Number 1992899280
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI Medicaid 4855780
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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