Organization
DALE W. BEAUMONT, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE W BEAUMONT M. D. (PRESIDENT)
(586) 286-7670
Entity
Organization
Contact information
Practice address
42633 GARFIELD RD STE 318, CLINTON TOWNSHIP, MI 48038-5033
(586) 286-7670
(586) 286-5179
Mailing address
42633 GARFIELD RD STE 318, CLINTON TOWNSHIP, MI 48038-5033
(586) 286-7670
(586) 286-5179
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301034186
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2132199
—
MI
Enumeration date
04/29/2008
Last updated
04/29/2008
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