| Oakwood Group Viii Llc | |
|
1611 Monroe St Dearborn MI 48124-2912 | |
| (313) 278-7100 | |
| Not Available |
| Full Name | Oakwood Group Viii Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1611 Monroe St, Dearborn, Michigan |
| Authorized Official Name and Position | Lee Ann Odom (PRESIDENT SHARED SERVICES) |
| Authorized Official Contact | 9475223326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakwood Group Viii Llc 26901 Beaumont Blvd Compliance Southfield MI 48033-3849 Ph: (947) 522-1964 | Oakwood Group Viii Llc 1611 Monroe St Dearborn MI 48124-2912 Ph: (313) 278-7100 |
| NPI Number | 1649577891 |
|---|---|
| Provider Enumeration Date | 02/24/2011 |
| Last Update Date | 10/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649577891 | NPI | - | NPPES |
| DR6453 | Other | MI | PALMETTO GBA/RAILROAD |
| 700H270490 | Other | MI | BCN |
| 700H270490 | Other | MI | BCBS |
| 1649577891 | Medicaid | MI | |
| 1649577891 | Other | MI | COMMERCIAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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