Basic Information
| Provider Information | |||||||||
| NPI: | 1376028506 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VERDI ONCOLOGY MICHIGAN PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 201 FRANKLIN RD FL 3 | ||||||||
| Address2: | |||||||||
| City: | BRENTWOOD | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370275214 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153092636 | ||||||||
| FaxNumber: | 6153092536 | ||||||||
| Practice Location | |||||||||
| Address1: | 11900 E 12 MILE RD STE 308 | ||||||||
| Address2: | |||||||||
| City: | WARREN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480933491 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153092636 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2018 | ||||||||
| LastUpdateDate: | 10/05/2018 | ||||||||
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| AuthorizedOfficialLastName: | CHAPMAN | ||||||||
| AuthorizedOfficialFirstName: | WES | ||||||||
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| AuthorizedOfficialTitleorPosition: | AO | ||||||||
| AuthorizedOfficialTelephone: | 6032527340 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.