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DEARBORN ONCOLOGY ASSOCIATES PC NPI 1366532590


NPI Information

NPI: 1366532590
Provider Name: DEARBORN ONCOLOGY ASSOCIATES PC
Classification: Clinic/Center - 261QX0200X
Entity Type: Organization

Specialization: Oncology

Address:
233 CHESTNUT CIR
BLOOMFIELD HILLS, MI
ZIP 48304
Phone: (313) 574-9146
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DEARBORN ONCOLOGY ASSOCIATES PC is an oncology clinic center in Bloomfield Hills, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. DEARBORN ONCOLOGY ASSOCIATES PC NPI is 1366532590. The provider is registered as an organization entity type.

The provider's business location address is:

233 CHESTNUT CIR
BLOOMFIELD HILLS, MI
ZIP 48304-105
Phone: (313) 574-9146
Fax: (248) 203-9979

The provider's authorized official is Joseph C Won .
The authorized official title is Owner and has the following contact phone number (313) 574-9146.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 2/25/2015.


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
1261QX0200XClinic/CenterOncology040797MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110F339390OTHERMICHIGANBC GROUP
21106361991OTHERMICHIGANBCBS
3110F339390OTHERMICHIGANBCN
44792608MEDICAIDMICHIGAN
51106361991OTHERMICHIGANBCN
6E37400MEDICARE UPINMICHIGAN
7ON94750MEDICARE PIN

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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