Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Oakwood Ambulatory, LLC

Organization Dermatology Physician · NPI 1407918642

Oakwood Ambulatory, LLC is a Dermatology Physician in Southgate, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
10
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

15777 Northline Rd Ste 202
Southgate, MI 48195-2354
Phone: (734) 246-8100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Dermatology Physician Taxonomy 207N00000X
Internal Medicine Physician Taxonomy 207R00000X
Hematology & Oncology Physician Taxonomy 207RH0003X
Infectious Disease Physician Taxonomy 207RI0200X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X

Record details

NPI number1407918642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lesley Willbrandt — Sr. Director Beaumont Shared Svcs · (947) 522-1911
Other names Beaumont Family Medicine - Southgate
NPI enumeratedDecember 14, 2006
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022
Mailing address26901 Beaumont Blvd, Southfield, MI 48033-3849