# WILLIAM BEAUMONT HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WILLIAM BEAUMONT HOSPITAL
- **Other names:** Beaumont Professional Services/Thoracic Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033168331
- **Legal business name:** WILLIAM BEAUMONT HOSPITAL
- **Authorized official:** LEE ANN ODOM (PRESIDENT SHARED SERVICES)
- **Authorized official phone:** (947) 522-3326

## Contact information

- **Practice address:** 3601 W 13 MILE RD, 400 FSC-PCS, ROYAL OAK, MI 48073-6712
- **Practice address phone:** (248) 423-3754
- **Mailing address:** 26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
- **Mailing address phone:** (947) 522-1964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2006
- **Last updated:** 10/01/2021