| NPI | 1710055355 |
|---|---|
| Doing Business As | OAKLAND FAMILY MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J CARUSO Executive Director 304-624-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-12-04 |