Registry details
Type
Individual
Primary specialty
Internal Medicine, Hematology & Oncology
Enumerated
Jun 2, 2006
License(s)
50625 (MA), 4301069385 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4100 JOHN R ST KARMANOS CANCER INST | Detroit, MI 48201-2013 | 800-527-6266 |
| MAILING | 1560 E. MAPLE RD SUITE 400-CREDENTIALING | Troy, MI 48083-1189 | 248-581-5976 |
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