Organization · Type 2 NPI

Great Lakes Cancer MGMT Specialists

Non-Pharmacy Dispensing Site · Grosse Pointe Woods, MI

NPI number 1982702973 Active

Practice location

19229 Mack Ave Ste 24
Grosse Pointe Woods, MI 48236-2857

Call (313) 884-5522 Map

Fax (313) 884-5737

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000X4301406109 (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.)

17 other providers at this address

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About NPI 1982702973

Great Lakes Cancer MGMT Specialists's National Provider Identifier is 1982702973, issued on Sep 21, 2006. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Grosse Pointe Woods, MI. The record was last updated on Aug 22, 2020.