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OAKWOOD AMBULATORY LLC NPI 1962566711


NPI Information

NPI: 1962566711
Provider Name: OAKWOOD AMBULATORY, LLC

Doing Business As: BEAUMONT PEDIATRIC CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D2274662

Address:
18181 OAKWOOD BLVD STE G101
DEARBORN, MI
ZIP 48124
Phone: (313) 593-7240
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OAKWOOD AMBULATORY, LLC is a pediatrics in Dearborn, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. OAKWOOD AMBULATORY, LLC NPI is 1962566711. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Beaumont Pediatric Clinic.

The provider's business location address is:

18181 OAKWOOD BLVD STE G101
DEARBORN, MI
ZIP 48124-031
Phone: (313) 593-7240

The provider's authorized official is Lesley Willbrandt .
The authorized official title is Sr. Director Beaumont Shared Svcs and has the following contact phone number (947) 522-1911.

The CLIA number assigned to this NPI record is 23D2274662 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 6/30/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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