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Organization
OAKLAND PHYSICIANS MEDICAL CENTER, LLC
Active
Organization
OAKLAND PHYSICIANS MEDICAL CENTER, LLC
Active
Other names
Pontiac General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY JODWAY (CHIEF FINANCIAL OFFICER)
(248) 857-7200
Entity
Organization
Contact information
Practice address
461 WEST HURON STREET, PONTIAC, MI 48341
(248) 857-7200
(248) 857-6842
Mailing address
461 WEST HURON STREET, PONTIAC, MI 48341
(248) 857-7200
(248) 857-6842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5435510
—
MI
Enumeration date
10/03/2008
Last updated
09/08/2017
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