Organization
OAKWOOD HEALTHCARE GROUP III, LLC
Active
Organization
OAKWOOD HEALTHCARE GROUP III, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization
Contact information
Practice address
18101 OAKWOOD BLVD, DEPARTMENT OF ANESTHESIA, DEARBORN, MI 48124-4089
(313) 593-7820
(313) 593-8894
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136191400
USDOL
MI
01
—
430H217720
BCBS
MI
01
—
AN820022
MCARE
MI
Enumeration date
06/10/2006
Last updated
10/21/2021
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