MEDICARE: OAKWOOD HOSPITAL AND MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1992936991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAKWOOD HOSPITAL AND MEDICAL CENTER

Provider Business Mailing Address
First Line	:	8562 CHATHAM DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-4456
Country	:	US
Telephone Number	:	248-882-1336
Fax Number	:

Provider Business Practice Location Address
First Line	:	8562 CHATHAM DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-4456
Country	:	US
Telephone Number	:	248-882-1336
Fax Number	:

Authorized Official
Title or Position	:	RESIDENT
Name	:	DR. LISA AWAN
Credential	:	M.D.
Telephone Number	:	248-882-1336

Provider Enumeration Date	:	08/07/2009
Last Update Date	:	08/07/2009

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