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Organization

BEAUMONT MEDICAL GROUP-PRIMARY CARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN SCOTT MANER (SR. VP BEAUMONT PHYSICIAN PARTNERS)
(947) 522-1912
Entity
Organization

Contact information

Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
26901 BEAUMONT BOULEVARD, SOUTHFIELD, MI 48033-3849

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
09/28/2017
Last updated
04/07/2020
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