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Organization
OAKWOOD HEALTHCARE GROUP I, LLC
Active
Organization
OAKWOOD HEALTHCARE GROUP I, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization
Contact information
Practice address
18101 OAKWOOD BLVD, DIVISION OF NEONATOLOGY, DEARBORN, MI 48124-4089
(313) 593-7490
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
—
NULL
363LN0000X
Neonatal Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500H228380
BCBS OF MI
—
Enumeration date
01/10/2007
Last updated
10/21/2021
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