Organization · Type 2 NPI

Community Cancer Care Specialists

Hematology & Oncology Physician · Mount Clemens, MI

NPI number 1760411680 Active

Practice location

1080 Harrington St, Suite 202
Mount Clemens, MI 48043-2901

Fax (586) 493-3445

Mailing address

PO Box 1169
Mount Clemens, MI 48046-1169

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X009575 (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.

5 other providers at this address

About NPI 1760411680

Community Cancer Care Specialists's National Provider Identifier is 1760411680, issued on Jul 2, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Mount Clemens, MI. The record was last updated on Aug 5, 2009.