WESTERN LAKE ERIE OMS, PC; NPI #1629445986

Contact Information

WESTERN LAKE ERIE OMS, PC

876 STEWART RD
#3
MONROE, MI 48162-5345

Phone: 734-243-9160
Fax: 734-243-6393
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Oral and Maxillofacial Surgery	261QS0112X
Oral and Maxillofacial Surgery	1223S0112X	19	Oral Surgery (Dentist only)

Indicates primary specialty

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NPI Profile & details for WESTERN LAKE ERIE OMS, PC

NPI Number	`1629445986`
LBN Legal business name	WESTERN LAKE ERIE OMS, PC
Authorized official	WENDY VORE - (PRACTICE ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/21/2015
Last updated	07/31/2019 - About 7 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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