Healthcare Provider Details

I. General information

NPI: 1720118243
Provider Name (Legal Business Name): SOUTHWEST MICHIGAN ONCOLOGY ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 11/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 NORTH AVENUE
BATTLE CREEK MI
49017
US

IV. Provider business mailing address

300 NORTH AVENUE
BATTLE CREEK MI
49017
US

V. Phone/Fax

Practice location:
  • Phone: 269-969-6187
  • Fax: 269-966-8639
Mailing address:
  • Phone: 269-969-6187
  • Fax: 269-966-8639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN L SMILEY
Title or Position: SINGLE MEMBER OF LLC
Credential: MD
Phone: 269-969-6187