Provider Demographics
NPI:1841296605
Name:HAEMATOLOGY-ONCOLOGY ASSOCIATES OF OHIO AND MICHIGAN PC
Entity type:Organization
Organization Name:HAEMATOLOGY-ONCOLOGY ASSOCIATES OF OHIO AND MICHIGAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:COYLE
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:734-847-4900
Mailing Address - Street 1:8166 DOUGLAS RD
Mailing Address - Street 2:
Mailing Address - City:LAMBERTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48144-9631
Mailing Address - Country:US
Mailing Address - Phone:734-847-4900
Mailing Address - Fax:734-847-6390
Practice Address - Street 1:8166 DOUGLAS RD
Practice Address - Street 2:
Practice Address - City:LAMBERTVILLE
Practice Address - State:MI
Practice Address - Zip Code:48144-9631
Practice Address - Country:US
Practice Address - Phone:734-847-4900
Practice Address - Fax:734-847-6390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty