Organization
WILLIAM BEAUMONT HOSPITAL - CRNA
Active
Parent organization
WILLIAM BEAUMONT HOSPITAL
Other names
Beaumont Health CRNA
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLIAM BEAUMONT HOSPITAL
Authorized official
LEE ANN ODOM (PRESIDENT SHARED SERVICES)
(947) 522-3326
Entity
Organization
Contact information
Practice address
468 CADIEUX RD, BEAUMONT GROSSE POINTE CRNA, GROSSE POINTE, MI 48230-1507
(313) 473-1000
Mailing address
26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-4716
(947) 522-1964
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1060000043
MI
Other
Enumeration date
02/27/2014
Last updated
10/01/2021
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