Provider Demographics
NPI:1649536541
Name:OAKLAND SOUTHFIELD PHYSICIANS
Entity type:Organization
Organization Name:OAKLAND SOUTHFIELD PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RODRIGO
Authorized Official - Middle Name:
Authorized Official - Last Name:TOBAR
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:248-357-4048
Mailing Address - Street 1:29200 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 325
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1013
Mailing Address - Country:US
Mailing Address - Phone:248-357-4048
Mailing Address - Fax:248-357-2049
Practice Address - Street 1:29200 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 325
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1013
Practice Address - Country:US
Practice Address - Phone:248-357-4048
Practice Address - Fax:248-357-2049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-04
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty