Organization
HOWARD A. BEADNER, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD A. BEADNER M.D. (PRESIDENT)
(616) 456-6722
Entity
Organization
Contact information
Practice address
233 FULTON ST E, SUITE 102, GRAND RAPIDS, MI 49503-3200
(616) 456-6722
(616) 456-6723
Mailing address
233 FULTON ST E, SUITE 102, GRAND RAPIDS, MI 49503-3200
(616) 456-6722
(616) 456-6723
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301035366
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0415670
BLUE CROSS BLUE SHIELD
MI
05
—
2100239
—
MI
Enumeration date
09/04/2006
Last updated
08/22/2020
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