GREAT LAKES CANCER MGMT SPECIALISTS
Suppliers at Mack Ave, Detroit, MI

License number
Michigan 4301406109
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: ROXANNE CLARK MPA,FAAMA
Title: CHIEF FIN.OFFICER
Phone: (313) 884-5524
Address
Address
19229 Mack Ave STE 24, Detroit, MI 48236
National Provider ID: 1982702973
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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