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NPI Code Detail

MEDICARE: PREMIER HEMATOLOGY & ONCOLOGY PLLC

MEDICARE: PREMIER HEMATOLOGY & ONCOLOGY PLLC
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 Physician

General Provider Information

NPI Number : 1285576934
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER HEMATOLOGY & ONCOLOGY PLLC
Provider Business Mailing Address
First Line : 24513 FORD RD
Second Line :
City : DEARBORN
State : MI
Zip : 48128-1131
Country : US
Telephone Number : 313-791-7992
Fax Number : 313-406-2961
Provider Business Practice Location Address
First Line : 24513 FORD RD
Second Line :
City : DEARBORN
State : MI
Zip : 48128-1131
Country : US
Telephone Number : 313-791-7992
Fax Number : 313-406-2961
Authorized Official
Title or Position : CREDENTIALING/BILLING MANAGER
Name : RACHELLE WILLIAMS
Credential :
Telephone Number : 734-245-7822
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/14/2026

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Directions to “PREMIER HEMATOLOGY & ONCOLOGY PLLC ” Practice Location

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