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Organization

OAKWOOD MEDICAL PRACTICES, PLLC

Active
Parent organization
OAKWOOD HEALTHCARE INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
OAKWOOD HEALTHCARE INC
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization

Contact information

Practice address
18181 OAKWOOD BLVD, STE 403, DEARBORN, MI 48124-5032
(313) 996-7322
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
(947) 522-1964

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
208000000X
Pediatrics Physician
208100000X
Physical Medicine & Rehabilitation Physician

Other

Enumeration date
01/10/2011
Last updated
10/21/2021
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