Organization
OAKWOOD AMBULATORY, LLC
Active
Other names
Beaumont Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY WILLBRANDT (SR. DIRECTOR BEAUMONT SHARED SVCS)
(947) 522-1911
Entity
Organization
Contact information
Practice address
18181 OAKWOOD BLVD STE G101, DEARBORN, MI 48124-5031
(313) 593-7240
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
06/30/2022
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