Individual
DALE WILLIAM BEAUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
01
—
0504232
MEDICARE LEGACY PROVIDER NUMBER FOR INDIVIDUAL NPI
MI
01
—
0P57770
NPI GROUP PROVIDER TRANSACTION ACCESS NUMBER(PTAN)
MI
01
—
1144495193
NPI GROUP NUMBER
MI
01
—
1164433108
INDIVIDUAL NPI
MI
05
—
2132199
—
MI
01
—
P57770001
NPI INDIVIDUAL PROVIDER TRANSACTION ACCESS NUMBER(PTAN)
MI
Enumeration date
08/11/2006
Last updated
07/09/2008
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