Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 35084578 | OH |
Y | 207RH0003X | Hematology & Oncology | 4301095411 | MI |
N | 207RX0202X | Medical Oncology | 35084578 | OH |
NPI | 1376645085 |
---|---|
Provider Name | Borys W Hrinczenko |
First Address | Lansing, MI 48910 |
Second Address | East Lansing, MI 48824-7015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 12/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1376645085 | (05) | MI |
2482808 | (05) | OH |
F59918 | (02) | OH |