# NORTH OAKLAND ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OAKLAND PHYSICIANS MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942393475
- **Legal business name:** OAKLAND PHYSICIANS MEDICAL CENTER
- **Authorized official:** MICHAEL L DERUBEIS (CFO)
- **Authorized official phone:** (248) 857-7583

## Contact information

- **Practice address:** 1305 NORTH OAKLAND BLVD, WATERFORD, MI 48327-1547
- **Practice address phone:** (248) 666-5552
- **Practice address fax:** (248) 666-5549
- **Mailing address:** 461 WEST HURON ST, SUITE 206, PONTIAC, MI 48341-0000
- **Mailing address phone:** (248) 857-7583
- **Mailing address fax:** (248) 857-7588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 636823 | MI | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 03/16/2011