Individual
KAREN L BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15055 22 MILE RD, SUITE 3, SHELBY TOWNSHIP, MI 48315-4401
(586) 588-7100
(586) 566-8088
Mailing address
15055 22 MILE RD, SUITE 3, SHELBY TOWNSHIP, MI 48315-4401
(586) 588-7100
(586) 566-8088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301057370
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4373825
—
MI
01
—
700E031610
BCBS GROUP NUMBER
MI
Enumeration date
05/08/2006
Last updated
10/03/2013
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