Individual
CAROLINE E BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(844) 832-1956
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
5101020083
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306080213
—
MI
Enumeration date
04/22/2009
Last updated
11/12/2024
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