Organization · Type 2 NPI

Toledo Clinic Incorporated

Hematology & Oncology Physician · Monroe, MI

NPI number 1639462674 Active

Practice location

800 Stewart Road, Suite B
Monroe, MI 48162

Call (734) 242-7902 Map

Fax (734) 242-9199

Mailing address

4235 Secor Rd.
Toledo, OH 43623

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	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.

NPI record

NPI: 1639462674
Entity type: Organization (Type 2)
Issued: May 24, 2011
Last updated: Oct 1, 2013
Status: Active
Subpart: Yes of Toledo Clinic Incorporated

Other names

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Toledo Clinic Cancer Centers · doing business as

Authorized official

Kristine P Simonsen-Monus
Director, Billing Services
(419) 473-3561

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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 1639462674

Toledo Clinic Incorporated's National Provider Identifier is 1639462674, issued on May 24, 2011. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Monroe, MI. The record was last updated on Oct 1, 2013.