MEDICARE: AMERICAN ONCOLOGIC ASSOCIATES OF MICHIGAN, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician

General Provider Information

NPI Number	:	1104890102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN ONCOLOGIC ASSOCIATES OF MICHIGAN, PC

Provider Business Mailing Address
First Line	:	30000 NORTHWESTERN HWY
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-3227
Country	:	US
Telephone Number	:	248-974-2511
Fax Number	:

Provider Business Practice Location Address
First Line	:	30365 DEQUINDRE RD
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-2200
Country	:	US
Telephone Number	:	248-589-5000
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. JEFFREY MARGOLIS
Credential	:	MD
Telephone Number	:	248-551-2446

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	06/28/2023

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