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Great Lakes Cancer Mgmt Specialists

Non-Pharmacy Dispensing Site in Grosse Pointe Woods, MI · enumerated 2006 · authorized official Roxanne Clark, Chief Fin.Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1982702973

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Cancer Mgmt Specialists
Other name <Unavail>
Practice address 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI, 48236
Phone (313) 884-5522
Fax (313) 884-5737
Enumeration date Sep 21, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License 4301406109 (MI) Primary

Authorized official

Name Roxanne Clark
Title Chief Fin.Officer
Phone (313) 884-5524

Other identifiers

Identifier Type State Issuer
2367161 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
2752283 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Great Lakes Cancer Mgmt Specialists?
Great Lakes Cancer Mgmt Specialists is registered in NPPES as a Non-Pharmacy Dispensing Site (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.