Provider Demographics
NPI:1376028506
Name:VERDI ONCOLOGY MICHIGAN PC
Entity Type:Organization
Organization Name:VERDI ONCOLOGY MICHIGAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AO
Authorized Official - Prefix:
Authorized Official - First Name:WES
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-252-7340
Mailing Address - Street 1:201 FRANKLIN RD FL 3
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5214
Mailing Address - Country:US
Mailing Address - Phone:615-309-2636
Mailing Address - Fax:615-309-2536
Practice Address - Street 1:11900 E 12 MILE RD STE 308
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-3491
Practice Address - Country:US
Practice Address - Phone:615-309-2636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty