# OAKLAND LIFESTYLE MEDICINE-PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962129544
- **Authorized official:** JONATHAN DEAN DC (OWNER)
- **Authorized official phone:** (248) 703-6288

## Contact information

- **Practice address:** 36800 WOODWARD AVE STE 210, BLOOMFIELD HILLS, MI 48304-0917
- **Practice address phone:** (248) 543-3566
- **Practice address fax:** (248) 543-2628
- **Mailing address:** 36800 WOODWARD AVE STE 210, BLOOMFIELD HILLS, MI 48304-0917
- **Mailing address phone:** (248) 543-3566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2022
- **Last updated:** 05/19/2023