Organization
COUNTY OF OAKLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE J MILLER JR. MA (DIRECTOR, HHS)
(248) 858-4063
Entity
Organization
Contact information
Practice address
1200 N TELEGRAPH RD, PONTIAC, MI 48341-1032
(248) 858-1280
(248) 858-5639
Mailing address
1200 N TELEGRAPH RD, BLDG 34 EAST, PONTIAC, MI 48341-1032
(248) 858-1280
(248) 858-5428
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
4301030690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010F370450
BCBSM
—
Enumeration date
01/18/2007
Last updated
12/18/2008
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