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Organization
WATERFORD FAMILY PHYSICIANS
Active
Organization
WATERFORD FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD J WOELKE M.D. (OWNER/PHYSICIAN)
(248) 666-9332
Entity
Organization
Contact information
Practice address
6620 HIGHLAND RD, SUITE 101, WATERFORD, MI 48327
(248) 666-9332
(248) 666-0340
Mailing address
6620 HIGHLAND RD, SUITE 101, WATERFORD, MI 48327-1682
(248) 666-9332
(248) 666-0340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010F363130
BCBSM GROUP ID NUMBER
MI
Enumeration date
10/02/2006
Last updated
06/23/2015
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