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MIRO-CLARKSTON NPI 1134194509


NPI Information

NPI: 1134194509
Provider Name: MIRO-CLARKSTON

Doing Business As: AMERICAN ONCOLOGIC AMERICAN ONCOLOGIC ASSOCIATES OF MICHIGAN, PC/MIRO

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
6770 DIXIE HWY
SUITE 106
CLARKSTON, MI
ZIP 48346
Phone: (248) 625-0300
Get Directions

MIRO-CLARKSTON is a radiation oncology radiology in Clarkston, MI. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. MIRO-CLARKSTON NPI is 1134194509. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As American Oncologic American Oncologic Associates Of Michigan, Pc/miro.

The provider's business location address is:

6770 DIXIE HWY
SUITE 106
CLARKSTON, MI
ZIP 48346-087
Phone: (248) 625-0300
Fax: (248) 625-0363

The provider's authorized official is Farideh R. Bagne .
The authorized official title is Ceo and has the following contact phone number (248) 338-0300.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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