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Organization
BEAUMONT HEALTH
Active
Organization
BEAUMONT HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization
Contact information
Practice address
3601 W 13 MILE RD, 111 MOB, STE. 329, ROYAL OAK, MI 48073-6712
(248) 551-0845
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
06/10/2015
Last updated
10/01/2021
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