Organization
AMBULATORY MEDICAL CLINICS PLLC
Active
Other names
OAKWOOD SOUTHSHORE GROSSE ILE URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization
Contact information
Practice address
8944 MACOMB ST, GROSSE ILE, MI 48138-2089
(734) 542-6100
(734) 542-6102
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301063833
MI
207Q00000X
Family Medicine Physician
Primary
43010801608
MI
207Q00000X
Family Medicine Physician
4301082093
MI
207R00000X
Internal Medicine Physician
4301065784
MI
Other
Enumeration date
01/03/2007
Last updated
10/21/2021
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