# BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881105039
- **Authorized official:** JONATHAN MANER (SR. VP, BEAUMONT PHYSICIAN PARTNERS)
- **Authorized official phone:** (947) 522-1912

## Contact information

- **Practice address:** 6900 ORCHARD LAKE RD STE 100, WEST BLOOMFIELD, MI 48322-3424
- **Practice address phone:** (248) 898-5000
- **Mailing address:** 26901 BEAUMONT BOULEVARD, STE. 3D, SOUTHFIELD, MI 48033-3849
- **Mailing address phone:** (947) 522-1857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2017
- **Last updated:** 02/11/2019