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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