Organization
OAKLAND LIFESTYLE MEDICINE-PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DEAN DC (OWNER)
(248) 703-6288
Entity
Organization
Contact information
Practice address
36800 WOODWARD AVE STE 210, BLOOMFIELD HILLS, MI 48304-0917
(248) 543-3566
(248) 543-2628
Mailing address
36800 WOODWARD AVE STE 210, BLOOMFIELD HILLS, MI 48304-0917
(248) 543-3566
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
05/19/2023
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