Organization
OAKWOOD HEALTHCARE GROUP I, 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, DIVISION OF NEONATOLOGY, DEARBORN, MI 48124-4089
(313) 593-7490
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500H228380
BCBS OF MI
—
Enumeration date
01/10/2007
Last updated
10/21/2021
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