Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Hematology & Oncology Physician · Jackson, MI

NPI number 1407393374 Active

Practice location

205 N. East Ave
Jackson, MI 49201

Fax (517) 841-7419

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X1060000044 (MI)

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.

42 other providers at this address

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About NPI 1407393374

W.a. Foote Memorial Hospital's National Provider Identifier is 1407393374, issued on Jan 30, 2017. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Jackson, MI. The record was last updated on Oct 22, 2026.