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Organization

WEXFORD MEDICAL GROUP

Active
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Organization

WEXFORD MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL ZDRODOWSKI (ADMINISTRATOR)
(231) 876-6730
Entity
Organization

Contact information

Practice address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 775-6521
(231) 876-6519
Mailing address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 775-6521
(231) 876-6519

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3508301122
PED NUMBER
MI
01
—
690H31500
LAB NUMBER
MI
Enumeration date
05/28/2006
Last updated
02/20/2008
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