Organization · Type 2 NPI

ST John Hospital and Medical Center

Hematology & Oncology Physician · Grosse Pointe Woods, MI

NPI number 1164655585 Active

Practice location

19229 Mack Ave, 24
Grosse Pointe Woods, MI 48236-2858

Fax (313) 884-6054

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed
Medical Oncology Physician	207RX0202X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

25 other providers at this address

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About NPI 1164655585

ST John Hospital and Medical Center's National Provider Identifier is 1164655585, issued on Sep 2, 2009. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Grosse Pointe Woods, MI. The record was last updated on Sep 2, 2009.