| NPI | 1588778484 |
|---|---|
| Doing Business As | WEST MICHIGAN CANCER CENTER RADIATION ONCOLOGY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH MIRRO President/CEO/Cmo 269-382-2500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0001X |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2011-11-30 |