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
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5435510
—
MI
Enumeration date
10/01/2008
Last updated
09/08/2017
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