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Individual

GUY P BEACHNAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
8452 M 119, HARBOR SPRINGS, MI 49740-9595
(231) 348-7002
(231) 348-7009
Mailing address
4048 CEDAR BLUFF DR STE 2, PETOSKEY, MI 49770-8895
(231) 347-5120
(231) 347-4844

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501301888
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5501301888
STATE OF MICHIGAN
MI
Enumeration date
06/02/2022
Last updated
06/02/2022
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