Organization
NORTH OAKLAND MEDICAL CENTER
Active
Other names
NOMC PHYSICIAN SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY WILLBRANDT (DIRECTOR)
(248) 857-7595
Entity
Organization
Contact information
Practice address
461 W HURON ST, 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
103T00000X
Psychologist
Primary
6301012980
MI
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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