Healthcare Provider Details

I. General information

NPI: 1568660876
Provider Name (Legal Business Name): OAKLAND MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2007
Last Update Date: 09/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3577 W 13 MILE RD SUITE 204
ROYAL OAK MI
48073-6710
US

IV. Provider business mailing address

27301 DEQUINDRE RD SUITE 314
MADISON HEIGHTS MI
48071-3473
US

V. Phone/Fax

Practice location:
  • Phone: 248-551-2446
  • Fax: 248-551-1094
Mailing address:
  • Phone: 248-399-4400
  • Fax: 248-399-4840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. HAROLD MARGOLIS
Title or Position: PRESIDENT
Credential: D.O.
Phone: 248-399-4400