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Organization
OAKLAND MEDICAL GROUP PC
Active
Organization
OAKLAND MEDICAL GROUP PC
Active
Other names
HAZEL OARK MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD MARGOLIS DO (PRESIDENT)
(313) 538-3099
Entity
Organization
Contact information
Practice address
23411 JOHN R RD, HAZEL PARK, MI 48030-1404
(248) 399-8331
(248) 399-3912
Mailing address
23411 JOHN R RD, HAZEL PARK, MI 48030-1404
(248) 399-8331
(248) 399-3912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700F310000
BLUE SHIELD GROUP
MI
01
—
DA8060
MEDICARE ID TYPE UNSPECIFIED
MI
Enumeration date
07/12/2006
Last updated
08/19/2008
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