Lakewood Medical Center Inc

NPI 1225249212 - General Practice - 208D00000X

NPI Details
NPI 1225249212
Enumeration Date 05/24/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TERRY TERRY
Position CEO
Phone (248) 352-9351
Fax (248) 352-9359
Practice Location
26555 EVERGREEN RD
SUITE 1502
SOUTHFIELD MI, 48076-4206, US
Phone (248) 352-9351
Fax (248) 352-9359
Business Location
26555 EVERGREEN RD
SUITE 1502
SOUTHFIELD MI, 48076-4206, US
Phone (248) 352-9351
Fax (248) 352-9359
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Lakewood Medical Center Inc NPI is 1225249212, taxonomy code is 208D00000X Lakewood Medical Center Inc physically located at 26555 Evergreen Rd, Southfield MI, 48076-4206. NPI Number 1033115704 has the healthcare provider type.

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1225249212 NPI number is provided on an as is basis without warranty of any kind. 1225249212 is maintained by the National Plan & Provider Enumeration System. The contents of Lakewood Medical Center Inc are for informational purposes only.