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General NPI Number Information
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NPI Number | 1760774681
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Entity Type | Organization
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Legal Business Name | MONROE CANCER CENTER
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 800 STEWART RD
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City | MONROE
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State | MI
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Zip | 48162-4226
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Country | US
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Telephone | 734-240-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 75 REMITTANCE DR SUITE 6239
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City | CHICAGO
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State | IL
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Zip | 60675-6239
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Country | US
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Telephone | 313-570-7739
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. FRANGESCO TORTI
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Credential |
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Telephone | 313-570-7739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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