Individual
ROGER DENNIS BEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7110 STADIUM DR, KALAMAZOO, MI 49009-9423
(269) 372-7600
(269) 372-7604
Mailing address
7110 STADIUM DRIVE, KALAMAZOO, MI 49009-9423
(269) 372-7600
(269) 372-7604
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
4301046890
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800024
BLUE CROSS BLUE SHIELD
MI
05
—
2784859
—
MI
Enumeration date
11/23/2005
Last updated
10/07/2015
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