| Organization Name: | PONTIAC OSTEOPATHIC HOSPITAL |
| NPI Number: | 1053463778 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHAD GRANT (CEO/PRESIDENT) |
| Mailing Address: | 50 N Perry St Pontiac |
| State: | MI US |
| Postal Code: | 483422217 |
| Phone Number: | 2483385000 |
| Fax Number: | 2483385564 |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 08/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RH0003X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Hematology & Oncology |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |