Organization
OAKWOOD HEALTHCARE, INC.
Active
Parent organization
OAKWOOD HEALTHCARE, INC.
Other names
Beaumont Hospital - Wayne
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAKWOOD HEALTHCARE, INC.
Authorized official
LESLEY WILLBRANDT (DIRECTOR SHARED SERVICES)
(947) 522-1911
Entity
Organization
Contact information
Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 467-4000
(734) 467-4017
Mailing address
26901 BEAUMONT BLVD., COMPLIANCE, SOUTHFIELD, MI 48033-4716
(947) 522-1963
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
820010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001928
CAPE HEALTH PROFESSIONAL
MI
01
—
0Q24603
BSHIELD/BCN
MI
05
—
102788722
—
MI
01
—
110242923
RAIL ROAD PROFESSIONAL
MI
01
—
OP821157
M-CARE PROFESSIONAL
MI
Enumeration date
07/28/2006
Last updated
04/22/2024
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