Wexford Medical Group
Family Medicine in Cadillac, MI. Organization (NPI-2).
NPI number1124075809
StatusActive
Last updated in NPPESFeb 20, 2008
Details
- NPI
- 1124075809
- Entity type
- Organization (NPI-2)
- Legal business name
- Wexford Medical Group
- Organization subpart
- No
- Enumeration date
- May 28, 2006
- Last updated
- Feb 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 208000000X | Pediatrics | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363LA2200X | Nurse Practitioner, Adult Health | – | – |
Practice location
520 Cobb StCadillac, MI 49601-2588
Phone 231-775-6521 · Fax 231-876-6519
Mailing address
520 Cobb StCadillac, MI 49601-2588
Phone 231-775-6521 · Fax 231-876-6519
Authorized official
Michael Zdrodowski
Administrator
2318766730
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