Organization · Type 2 NPI

ST Mary Mercy Physician Practices

Oncology Clinic/Center · Livonia, MI

NPI number 1225306392 Active

Practice location

14555 Levan Rd, Suite 112
Livonia, MI 48154-5083

Call (734) 779-2123 Map

Fax (734) 779-2163

Mailing address

20555 Victor Pkwy, SE Mi Shared Services W3D
Livonia, MI 48152-7031

Specialties and licenses

Taxonomy	Code	License
Oncology Clinic/Center Primary	261QX0200X	None listed

Oncology Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.

69 other providers at this address

Other oncology clinic/center providers in Livonia

Hope Cancer Clinic PLLCOncology Clinic/Center Livonia, MI NPI 1215119672

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NPI record

NPI: 1225306392
Entity type: Organization (Type 2)
Issued: Dec 5, 2011
Last updated: Nov 3, 2015
Status: Active
Subpart: Yes of ST Mary Mercy Physician Practices

Other names

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ST Mary Mercy Oncology Practice · doing business as

Authorized official

David Spivey
President / CEO
(734) 655-1610

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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 1225306392

ST Mary Mercy Physician Practices's National Provider Identifier is 1225306392, issued on Dec 5, 2011. The primary taxonomy on file is Oncology Clinic/Center (261QX0200X), and the practice location is in Livonia, MI. The record was last updated on Nov 3, 2015.