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Organization

NORTH OAKLAND MEDICAL CENTER

Active
Other names
NOMC PHYSICIAN SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
LESLEY WILLBRANDT (SUPERVISOR)
(248) 857-7595
Entity
Organization

Contact information

Practice address
461 W HURON ST, SUITE 206, PONTIAC, MI 48341-1601
(248) 857-7583
Mailing address
8221 RELIABLE PKWY, CHICAGO, IL 60686-0001
(248) 857-7583

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
6301012980
MI
176B00000X
Midwife
MI
208000000X
Pediatrics Physician
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
MI
208600000X
Surgery Physician
Primary
MI
363A00000X
Physician Assistant
MI
363L00000X
Nurse Practitioner
MI

Other

Enumeration date
10/26/2006
Last updated
11/26/2007
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