North Oakland Medical Center
Psychologist in Pontiac, MI. Organization (NPI-2).
NPI number1609024892
StatusActive
Last updated in NPPESSep 3, 2008
Details
- NPI
- 1609024892
- Entity type
- Organization (NPI-2)
- Legal business name
- North Oakland Medical Center
- Organization subpart
- No
- Enumeration date
- Sep 3, 2008
- Last updated
- Sep 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 6301012980 | MI | Yes |
Other names
- Nomc Physician Services (Doing Business As)
Practice location
461 W Huron StPontiac, MI 48341-1601
Phone 248-857-7583
Mailing address
8221 Reliable PkwyChicago, IL 60686-0001
Phone 248-857-7583
Authorized official
Lesley Willbrandt
Director
2488577595
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