Organization
OAKWOOD HEALHCARE GROUP 1, LLC
Active
Other names
Southshore MOB
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization
Contact information
Practice address
5400 FORT ST, SUITE 100, TRENTON, MI 48183-4632
(734) 362-1200
Mailing address
29601 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
10/17/2008
Last updated
10/21/2021
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