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Individual

DR. RYAN A BEEKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1201 E MICHIGAN AVE, STE 300, JACKSON, MI 49201-1852
(517) 205-1431
(517) 205-1432
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-0002
(517) 841-1431
(517) 841-1432

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
4301072498
MI
207X00000X
Orthopaedic Surgery Physician
4301072498
MI
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
4301072498
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2003810332
BLUE CROSS BLUE SHIELD MI
MI
01
700C810580
BCBSM GRP - ALLEGIANCE
MI
01
P00421558
RR MEDICARE
MI
Enumeration date
08/16/2005
Last updated
01/29/2021
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