Organization
AMY L BEEMAN DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY L BEEMAN DO (OWNER)
(248) 217-2652
Entity
Organization
Contact information
Practice address
44199 DEQUINDRE RD, SUITE 518, TROY, MI 48085-1128
(248) 964-6090
Mailing address
3544 BEACH RD, TROY, MI 48084-1102
(810) 602-8358
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
5101013302
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-5-63-1440-4
BLUE CROSS BLUE SHIELDPIN
MI
01
—
5101013302
PHYSICIANS LICENSE
MI
Enumeration date
11/06/2006
Last updated
03/07/2023
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