| Organization Name: | OAKLAND MEDICAL GROUP PC |
| NPI Number: | 1033384490 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HAROLD MARGOLIS (PRESIDENT) |
| Mailing Address: | 27483 Dequindre Rd Suite 101 Madison Heights |
| State: | MI US |
| Postal Code: | 480713491 |
| Phone Number: | 2485449050 |
| Fax Number: | 2485442331 |
| NPI Enumeration Date: | 04/28/2008 |
| NPI Last Update Date: | 04/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |