AVENUE HEMATOLOGY AND ONCOLOGY LLC is a specialist in Edwardsburg, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AVENUE HEMATOLOGY AND ONCOLOGY LLC NPI is 1942559380. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
69045 M 62 STE B1&B2
EDWARDSBURG, MI
ZIP 49112-150
Phone: (574) 968-4100
Fax: (574) 968-4125
The provider's authorized official is William S Kamanda .
The authorized official title is Ceo and has the following contact phone number (574) 968-4100.
The CLIA number assigned to this NPI record is 15D1042331 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/30/2012 and was last updated on 7/11/2019.