# WILLIAM BEAUMONT HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WILLIAM BEAUMONT HOSPITAL
- **Other names:** BEAUMONT PROFESSIONAL SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982653705
- **Legal business name:** WILLIAM BEAUMONT HOSPITAL
- **Authorized official:** LESLEY WILLBRANDT (DIRECTOR-SHARED SERVICES)
- **Authorized official phone:** (947) 522-1911

## Contact information

- **Practice address:** 3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
- **Practice address phone:** (248) 585-8271
- **Practice address fax:** (248) 585-8266
- **Mailing address:** 26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 06/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 500F318190 | BCBSM | MI |