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NPI Code Detail

MEDICARE: JOHN AXELSON MD

MEDICARE:   JOHN  AXELSON  MD
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
1207RH0003XHematology & Oncology PhysicianJA037999MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1JA037999OTHERMISTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255306429
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN AXELSON MD
Provider Business Mailing Address
First Line : 150 HAWTHORNE DR
Second Line :
City : BROOKLYN
State : MI
Zip : 49230-8924
Country : US
Telephone Number : 517-592-8984
Fax Number :
Provider Business Practice Location Address
First Line : 1100 E MICHIGAN AVE
Second Line : STE 201
City : JACKSON
State : MI
Zip : 49201-1847
Country : US
Telephone Number : 517-789-7122
Fax Number : 517-789-5229
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 03/06/2008

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Directions to “ JOHN AXELSON MD” Practice Location

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