Organization · Type 2 NPI

Great Lakes Cancer MGMT Specialists

Non-Pharmacy Dispensing Site · Utica, MI

NPI number 1427155357 Active

Practice location

11051 Hall Rd, Ste 120
Utica, MI 48317-5735

Call (586) 991-0700 Map

Fax (586) 991-0701

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000X4301056352 (MI)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

12 other providers at this address

About NPI 1427155357

Great Lakes Cancer MGMT Specialists's National Provider Identifier is 1427155357, issued on Sep 20, 2006. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Utica, MI. The record was last updated on Aug 22, 2020.