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Individual

DR. MICHAEL WARREN BEASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
611 COURT ST, WEST BRANCH, MI 48661-9390
(989) 345-7000
(989) 345-7479
Mailing address
611 COURT ST, WEST BRANCH, MI 48661-9390
(989) 345-7000
(989) 345-7479

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MB047056
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205879871
BC BS MI
MI
05
1205879871
MI
05
4069094
MI
05
4329021
MI
Enumeration date
06/13/2006
Last updated
10/08/2009
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