Organization
OAKWOOD AMBULATORY, LLC
Active
Other names
Oakwood Wound Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY WILLBRANDT (DIRECTOR SHARED SERVICES)
(947) 522-1911
Entity
Organization
Contact information
Practice address
26650 EUREKA RD, SUITE C, TAYLOR, MI 48180-4835
(734) 941-0573
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/14/2006
Last updated
08/21/2019
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