Richard A Axtell
MD | Pediatric Hematology-Oncology | Male
Richard A Axtell, MD is a Grand Rapids, Michigan based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Richard A Axtell is
100 Michigan St Ne, Mc 249, Grand Rapids, Michigan - 49503-2560. He can be contacted on phone at
616-267-1925 and fax number 616-267-1005.
Richard A Axtell is a sole proprietor of his business.
NPI number (Unique professional ID) for Richard A Axtell is
1932170065 which was assigned by NPPES on 27 Jan, 2006 and it was last updated on 03 Apr, 2013.
Richard A Axtell license number is
4301048203 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Michigan.
Richard A Axtell is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Richard A Axtell basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Richard A Axtell |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Richard A Axtell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 100 Michigan St Ne, Mc 249
Grand Rapids, MI, 49503-2560
United States |
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| Phone Number : | 616-267-1925 |
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| Fax Number : | 616-267-1005 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932170065 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Jan, 2006 |
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| Last Updated On : | 03 Apr, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard A Axtell are as mentioned. Primary taxonomy code for Richard A Axtell, MD is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 4301048203 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Richard A Axtell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1104134811 | Other | MI | BCBSM |
| 2841427 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 Michigan St Ne, Mc 845
Grand Rapids, MI, 49503-2560
United States |
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Business Location:
Patients can refer following map for directions to
Richard A Axtell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.