Healthcare Provider Details

I. General information

NPI: 1245286731
Provider Name (Legal Business Name): GENESYS HURLEY CANCER INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 KENSINGTON AVE
FLINT MI
48503
US

IV. Provider business mailing address

PO BOX 2969
INDIANAPOLIS IN
46206-2969
US

V. Phone/Fax

Practice location:
  • Phone: 810-762-8226
  • Fax: 810-762-8016
Mailing address:
  • Phone: 810-762-8226
  • Fax: 810-762-8016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT F GIFFEL
Title or Position: PRESIDENT
Credential:
Phone: 810-762-8225