Organization
LAKEWOOD MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY BARNES (CEO)
(248) 352-9341
Entity
Organization
Contact information
Practice address
26555 EVERGREEN RD, SUITE 1502, SOUTHFIELD, MI 48076-4206
(248) 352-9351
(248) 352-9359
Mailing address
26555 EVERGREEN RD, SUITE 1502, SOUTHFIELD, MI 48076-4206
(248) 352-9351
(248) 352-9359
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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