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 provides Dermatology Physician services 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