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Organization
BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
Active
Organization
BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW E COX (CFO)
(616) 295-4264
Entity
Organization
Contact information
Practice address
18181 OAKWOOD BLVD, DEARBORN, MI 48124-5032
(313) 982-5430
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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