North Oakland Family Medical, PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5101010351 Issued in MI

Legal business name

NORTH OAKLAND FAMILY MEDICAL, PC

Practice address

10740 Dixie Hwy
Davisburg, MI 48350-1123

Phone

(248) 625-7007

Fax

(248) 625-0314

NPI assigned

Mar 29, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Walter Haduck, DO

Title

D.O.

Phone

(248) 625-7007

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1174866982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 DIXIE HWY",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "48350",
            "telephone_number": "248-625-7007",
            "fax_number": "248-625-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 DIXIE HWY",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483501123",
            "telephone_number": "248-625-7007",
            "fax_number": "248-625-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OAKLAND FAMILY MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "HADUCK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "248-625-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101010351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2805340",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Davisburg, MI
• Providers in Davisburg, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.