Organization · Type 2 NPI

W.a. Foote Memorial Hospital, Inc

Radiation Oncology Physician · Jackson, MI

NPI number 1043757917 Active

Practice location

205 N. East Ave
Jackson, MI 49201

Call (517) 841-7843 Map

Fax (517) 841-7419

Mailing address

PO Box 67000, Department 272801
Detroit, MI 48267

Specialties and licenses

Taxonomy	Code	License
Radiation Oncology Physician Primary	2085R0001X	1060000044 (MI)

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

42 other providers at this address

Other radiation oncology physician providers in Jackson

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NPI record

NPI: 1043757917
Entity type: Organization (Type 2)
Issued: Jan 30, 2017
Last updated: Jan 30, 2017
Status: Active
Subpart: Yes of Henry Ford Allegiance Health Group

Other names

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Henry Ford Allegiance Health · doing business as

Authorized official

Kevin Leonard
VP Finance
(517) 841-7843

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043757917

W.a. Foote Memorial Hospital, Inc's National Provider Identifier is 1043757917, issued on Jan 30, 2017. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Jackson, MI. The record was last updated on Jan 30, 2017.