Organization · Type 2 NPI

Michiana Hematology Oncology of Michigan, P.c.

Hematology & Oncology Physician · Niles, MI

NPI number 1235134461 Active

Practice location

4 Longmeadow Drive, Suite One
Niles, MI 49120

Fax (269) 683-4154

Mailing address

100 Navarre Pl, Ste 6695
South Bend, IN 46601-1156

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed
Gynecologic Oncology Physician 207VX0201XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone 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.

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About NPI 1235134461

Michiana Hematology Oncology of Michigan, P.c.'s National Provider Identifier is 1235134461, issued on Jun 15, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Niles, MI. The record was last updated on Oct 13, 2009.